BEVERLY BROCK LCPC, CADC
NPI 1548001019
Counselor - Professional in Chicago, IL

Active since June 06, 2024PECOS EnrolledAccepts Medicare Assignment
1026 W LAWRENCE AVE, CHICAGO, IL 60640(773) 989-9400 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Beverly Brock Lcpc, Cadc NPPES

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

BEVERLY BROCK LCPC, CADC (NPI 1548001019) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.001729) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1988).

NPPES Registry Identity

NPI1548001019
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBEVERLY BROCKCredential: LCPC, CADC
Location Address1026 W LAWRENCE AVEChicago, IL 60640-5018
Mailing Address1026 W Lawrence AveChicago, IL 60640-5018 · (773) 989-9400
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1988
Enumeration DateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1548001019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.001729
1026 W LAWRENCE AVE, Chicago, IL 60640

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Beverly Brock Lcpc, Cadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638613946
PECOS Enrollment IDI20240627002348
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.

Medicare Billing Reassignment

Medicare enrollment records show Beverly Brock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
5537 N BROADWAY ST
Chicago, IL 60640
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Pharmacist
1026 W LAWRENCE AVE
CHICAGO, IL 60640

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 Beverly Brock's NPI number?

The NPI number for Beverly Brock is 1548001019. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Beverly Brock located?

Beverly Brock practices at 1026 W Lawrence Ave, Chicago, IL 60640. The listed phone number is (773) 989-9400.

What is Beverly Brock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Beverly Brock enrolled in Medicare?

Yes. Beverly Brock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Beverly Brock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Brock reassigns Medicare benefits to Tpa Network Incorporated (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beverly Brock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beverly Brock accept?

Health plans from Ambetter Health list Beverly Brock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beverly Brock was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.