Christina Brock
Individual provider Active NPI Mental Health Counselor · Perry, FL
NPI 1316603418 · NPPES record last updated May 22, 2026
Key facts
- NPI
- 1316603418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 22716 (FL)
- Practice address
- 555 N Byron Butler Pkwy
Perry, FL 32347-2315 - Phone
- (850) 329-5776
- NPI assigned
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifesource of North Carolina
Practice addresses (Care Compare)
5530 Northop Rd
Milton, FL 32570-8701
Phone (910) 742-9243
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260606000312 | FL | Practitioner - Mental Health Counselor | 1254802655 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22716 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 22716 | FL | Yes |
Addresses
Primary practice location
555 N Byron Butler Pkwy
Perry, FL 32347-2315
Mailing address
PO Box 1726
Perry, FL 32348-7305
Phone (850) 329-5776
Other practice location 1
5530 Northrop Rd
Milton, FL 32570-8701
Phone (910) 742-9243
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | admin@dawnahaswell-lcsw.com | Direct |
Other providers in Perry, FL
- Ernest Hubbert Blake, Jr
- Tandela Shayontaye Blount-Jackson
- Virginia Paige Bodell
- Donna Blair Bodiford
- Kylie Renee Bogetti
- Kathryn Jenkins Brooks
- Tonya Brumbley Bryan
- Dorothy Tucker Burney
- Moses Bwete
- Carestandard Corporation
All providers in Perry, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.