Autumn Michelle Brock, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

128131 Issued in CA

Practice address

560 Cohasset Rd
Chico, CA 95926-2281

Phone

(530) 891-2810

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of ButteGroup PAC ID 3779489356, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Butte

  • Adult Mental Health Clinic/Center
  • Chico, CA
  • NPI 1578623583
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• County of Butte

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paradise, CA
  • NPI 1174161343
  NPD
• County of Butte

  • Adult Mental Health Clinic/Center
  • Paradise, CA
  • NPI 1629138615
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1619585296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 LAUREL ST",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959286655",
            "telephone_number": "530-852-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262281",
            "telephone_number": "530-891-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "AUTUMN",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "128131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Walter Bristow, FNP PAC
• Justin Brito
• Deborah Ann Britton
• Shannon Marie Broadway
• Brock S Cummings MD Inc
• Michele Brockett, CCC-SLP
• Angela M Brockman, NURSE PRACTITIONER
• Erinn Leigh Bromley
• Vera A Brooker, MA COUNSELING
• Jason Anders Brooks

• Mental Health Counselor in Chico, CA
• Providers in Chico, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.