BROCK GRACE LPC
NPI 1659722692
Counselor - Professional in Winston Salem, NC

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment
1400 OLD MILL CIR STE A, WINSTON SALEM, NC 27103(336) 893-7742 Get Directions Write a Review

NPPES record last updated: August 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2022, Jun 30, 2016 (2 updates tracked since 2016).

About Brock Grace Lpc NPPES

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

BROCK GRACE LPC (NPI 1659722692) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (A12061) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659722692
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBROCK GRACECredential: LPC
Location Address1400 OLD MILL CIR STE AWinston Salem, NC 27103-2977
Mailing Address6220 Thermal RdCharlotte, NC 28211-5630
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 30, 2016
Last NPPES UpdateAugust 13, 20222 updates tracked since enumeration
NPPES CertifiedAugust 13, 2022
NPI 1659722692 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 NC · A12061
1400 OLD MILL CIR STE A, Winston Salem, NC 27103

Accepted Insurance

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

Brock Grace Lpc 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 ID7911400346
PECOS Enrollment IDI20251009002498
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.

Counselor (Mental Health)
1400 OLD MILL CIR STE A
WINSTON SALEM, NC 27103
Community/Behavioral Health
1400 OLD MILL CIR STE A
WINSTON SALEM, NC 27103
Counselor (Mental Health)
1400 OLD MILL CIR STE A
WINSTON SALEM, NC 27103
Social Worker
1400 OLD MILL CIR STE A
WINSTON SALEM, NC 27103
Social Worker
1400 OLD MILL CIR STE A
WINSTON SALEM, NC 27103

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 Brock Grace's NPI number?

The NPI number for Brock Grace is 1659722692. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Brock Grace located?

Brock Grace practices at 1400 Old Mill Cir Ste A, Winston Salem, NC 27103. The listed phone number is (336) 893-7742.

What is Brock Grace's specialty?

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

Is Brock Grace enrolled in Medicare?

Yes. Brock Grace 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.

What insurance does Brock Grace accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Brock Grace 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 Brock Grace was last updated on August 13, 2022. 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.