Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brock Grace, LPC

Individual provider Professional Counselor · NPI 1659722692

Brock Grace, LPC is a Mental Health Counselor in Winston Salem, North Carolina. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1400 Old Mill Cir Ste A
Winston Salem, NC 27103-2977
Phone: (336) 893-7742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A12061 (NC)

Record details

NPI number1659722692
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESAugust 13, 2022
Certification dateAugust 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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