Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaine Paul Brockman

Individual provider Professional Counselor · NPI 1649937681

Blaine Paul Brockman is a Professional Counselor in West Jefferson, Ohio. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

765 Lakeview Dr
West Jefferson, OH 43162-9587
Phone: (614) 296-6391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1649937681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2021
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021