BROCK STOUT
NPI 1932962313
Counselor - Mental Health in Carthage, IL

Active since January 30, 2024PECOS EnrolledAccepts Medicare Assignment
1454 N COUNTY ROAD 2050 E, CARTHAGE, IL 62321(217) 357-6888 Get Directions Write a Review

NPPES record last updated: August 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brock Stout NPPES

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

BROCK STOUT (NPI 1932962313) is an individual mental health provider in Carthage, Illinois, licensed in Iowa (122471) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nauvoo, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1932962313
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBROCK STOUT
Location Address1454 N COUNTY ROAD 2050 ECarthage, IL 62321-3551
Mailing Address1830 Parley StNauvoo, IL 62354-1352
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 30, 2024
Last NPPES UpdateAugust 10, 2024
NPPES CertifiedAugust 10, 2024
NPI 1932962313 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 IA · 122471
1454 N COUNTY ROAD 2050 E, Carthage, IL 62321

Secondary Practice Location 1

Location 11830 Parley StNauvoo, IL 62354-1352 · Phone (312) 965-2686

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 Stout 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 ID7214413467
PECOS Enrollment IDI20260108000110
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 6

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

Nurse Practitioner (Psychiatric/Mental Health)
1454 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Nurse Practitioner (Psychiatric/Mental Health)
1454 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Occupational Therapist
1454 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Nurse Anesthetist, Certified Registered
1454 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Health Educator
1454 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Physical Therapist
1454 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321

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 Stout's NPI number?

The NPI number for Brock Stout is 1932962313. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Brock Stout located?

Brock Stout practices at 1454 N County Road 2050 E, Carthage, IL 62321. The listed phone number is (217) 357-6888.

What is Brock Stout's specialty?

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

Is Brock Stout enrolled in Medicare?

Yes. Brock Stout 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 Brock Stout was last updated on August 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.