Brock Conrad Klement, LPC
NPI 1366107484ActiveIndividual· Counselor, Professional· Hudson, WI
Counselor, Professional (LPC) with Nystrom and Associates Counseling Wi SC, practicing in Hudson, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1366107484 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Nov 3, 2021 |
| Last updated in NPPES | Nov 2, 2022 |
| Certified by provider | Nov 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 10038-125 | WI |
| Counselor, Mental Health | 101YM0800X | LPC-18611 | AZ |
| Counselor, Professional | 101YP2500X | 2751 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Nystrom and Associates Counseling Wi SCEau Claire, WI · 107 clinicians
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