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NICOLE BROCK LPC
NPI 1669989158
Counselor - Professional in Fayetteville, AR

Active since January 05, 2018PECOS Enrolled
60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 695-1240(479) 750-4843 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2023, Mar 14, 2019 (2 updates tracked since 2019).

About Nicole Brock Lpc NPPES

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

NICOLE BROCK LPC (NPI 1669989158) is an individual professional provider in Fayetteville, Arkansas and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669989158
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE BROCKCredential: LPC
Location Address60 W SUNBRIDGE DRFayetteville, AR 72703-1822
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843
Phone(479) 695-1240
Fax(479) 750-4843
Sole ProprietorNo
Enumeration DateJanuary 5, 2018
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1669989158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
60 W SUNBRIDGE DR, Fayetteville, AR 72703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

AIRITY C HESINGTON LCSW
Social Worker (Clinical)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
HUONG MARY CHU LCSW
Social Worker (Clinical)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1242
DESTINY M ADAMS
Social Worker
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
JASMEN MARTY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
CANDICE Y MARTIN
Counselor (Mental Health)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
ANNIKA D PERRY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
TAYLOR KENNEDY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
MATTHEW BANCROFT
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240

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 Nicole Brock's NPI number?

The NPI number for Nicole Brock is 1669989158. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Where is Nicole Brock located?

Nicole Brock practices at 60 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 695-1240.

What is Nicole Brock's specialty?

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

Is Nicole Brock enrolled in Medicare?

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

What insurance does Nicole Brock accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Nicole 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 Nicole Brock was last updated on February 9, 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.