CHRISTINA BROCK
NPI 1316603418
Counselor - Mental Health in Perry, FL

Active since November 12, 2021PECOS Enrolled
555 N BYRON BUTLER PKWY, PERRY, FL 32347(850) 329-5776 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, Nov 12, 2021 (2 updates tracked since 2021).

About Christina Brock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINA BROCK (NPI 1316603418) is an individual mental health provider in Perry, Florida, licensed in Florida (22716) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milton, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316603418
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTINA BROCK
Location Address555 N BYRON BUTLER PKWYPerry, FL 32347-2315
Mailing AddressPo Box 1726Perry, FL 32348-7305 · (850) 329-5776 · Fax (888) 974-6195
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 12, 2021
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
NPI 1316603418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · 22716
555 N BYRON BUTLER PKWY, Perry, FL 32347

Secondary Practice Location 1

Location 15530 Northrop RdMilton, FL 32570-8701 · Phone (910) 742-9243 · Fax (888) 746-1787

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Christina Brock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254802655
PECOS Enrollment IDI20260606000312
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician/Technologist (Optician)
555 N BYRON BUTLER PKWY
PERRY, FL 32347
Social Worker (Clinical)
555 N BYRON BUTLER PKWY
PERRY, FL 32347
Family Medicine
555 N BYRON BUTLER PKWY
PERRY, FL 32347
Technician/Technologist (Ophthalmic)
555 N BYRON BUTLER PKWY
PERRY, FL 32347
Clinic/Center (Hearing and Speech)
555 N BYRON BUTLER PKWY
PERRY, FL 32347
Physician Assistant (Medical)
555 N BYRON BUTLER PKWY
PERRY, FL 32347
Social Worker (Clinical)
555 N BYRON BUTLER PKWY
PERRY, FL 32347
Clinic/Center (Ambulatory Surgical)
555 N BYRON BUTLER PKWY
PERRY, FL 32347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christina Brock's NPI number?

The NPI number for Christina Brock is 1316603418. It was assigned to this individual provider in the NPPES registry on November 12, 2021.

Where is Christina Brock located?

Christina Brock practices at 555 N Byron Butler Pkwy, Perry, FL 32347. The listed phone number is (850) 329-5776.

What is Christina Brock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Christina Brock enrolled in Medicare?

Yes. Christina Brock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christina Brock was last updated on May 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.