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MRS. PORTIA BROCK LPC
NPI 1316653199
Counselor - Mental Health in Chicago, IL

Active since January 25, 2023PECOS Enrolled
566 W LAKE ST STE 200, CHICAGO, IL 60661(312) 371-5680 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Portia Brock Lpc NPPES

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

MRS. PORTIA BROCK LPC (NPI 1316653199) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178018863) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316653199
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. PORTIA BROCKCredential: LPC
Location Address566 W LAKE ST STE 200Chicago, IL 60661-1413
Mailing Address3152 W 84th StChicago, IL 60652-3425 · (773) 512-6773
Phone(312) 371-5680
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
✔ NPI 1316653199 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 IL · 178018863
566 W LAKE ST STE 200, Chicago, IL 60661
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7618417056
PECOS Enrollment IDI20240911003766
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 5

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

KATHERINE MCNEIL PSYD
Psychologist (Clinical)
566 W LAKE ST STE 200
CHICAGO, IL 60661
Cook County (630) 607-0387
MS. AMALIA C PRYOR LCSW
Social Worker (Clinical)
566 W LAKE ST STE 200
CHICAGO, IL 60661
Cook County (773) 316-8032
PHOEBE SELENE CAPLIN MSW
Social Worker (Clinical)
566 W LAKE ST STE 200
CHICAGO, IL 60661
Cook County (312) 525-8887
ALLISON CHO
Counselor (Mental Health)
566 W LAKE ST STE 200
CHICAGO, IL 60661
Cook County (312) 525-8887
KATELYN KIERA DANIELS LPC
Counselor (Professional)
566 W LAKE ST STE 200
CHICAGO, IL 60661
Cook County (312) 525-8887

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 Portia Brock's NPI number?

The NPI number for Portia Brock is 1316653199. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Portia Brock located?

Portia Brock practices at 566 W Lake St Ste 200, Chicago, IL 60661. The listed phone number is (312) 371-5680.

What is Portia Brock's specialty?

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

Is Portia Brock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Portia Brock was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.