AUTUMN MICHELLE BROCK LCSW
NPI 1619585296
Counselor - Mental Health in Chico, CA

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment
560 COHASSET RD, CHICO, CA 95926(530) 891-2810 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Jul 20, 2020 (2 updates tracked since 2020).

About Autumn Michelle Brock Lcsw NPPES

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

AUTUMN MICHELLE BROCK LCSW (NPI 1619585296) is an individual mental health provider in Chico, California, licensed in California (128131) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619585296
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAUTUMN MICHELLE BROCKCredential: LCSW
Location Address560 COHASSET RDChico, CA 95926-2281
Mailing Address1632 Laurel StChico, CA 95928-6655 · (530) 852-1814
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 20, 2020
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1619585296 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 CA · 128131
560 COHASSET RD, Chico, CA 95926

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Autumn Michelle Brock Lcsw 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 ID7810402526
PECOS Enrollment IDI20250711003518
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.

Counselor (Mental Health)
560 COHASSET RD
CHICO, CA 95926
Counselor (Mental Health)
560 COHASSET RD, SUITE 180
CHICO, CA 95926
Counselor (Mental Health)
560 COHASSET RD, SUITE 175
CHICO, CA 95926
Licensed Vocational Nurse
560 COHASSET RD
CHICO, CA 95926
Registered Nurse (General Practice)
560 COHASSET RD
CHICO, CA 95926
Psychiatric Unit
560 COHASSET RD
CHICO, CA 95926
Counselor (Mental Health)
560 COHASSET RD, SUITE 180
CHICO, CA 95926
Counselor (Mental Health)
560 COHASSET RD, SUITE 185
CHICO, CA 95926

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 Autumn Brock's NPI number?

The NPI number for Autumn Brock is 1619585296. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Autumn Brock located?

Autumn Brock practices at 560 Cohasset Rd, Chico, CA 95926. The listed phone number is (530) 891-2810.

What is Autumn Brock's specialty?

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

Is Autumn Brock enrolled in Medicare?

Yes. Autumn 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.

When was this NPI record last updated?

The NPPES record for Autumn Brock was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.