Individual provider Active NPI

Susan Christine Bock, LMHC

  • Mental Health Counselor
  • Cedar Rapids, IA
National Provider Identifier
1881183390
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
085238 Issued in IA
Practice address
3726 Queen CT SW Ste 103
Cedar Rapids, IA 52404-3903
Phone
(319) 560-0230
Fax
(319) 343-1059
NPI assigned
May 9, 2018
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 085238 IA Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

3726 Queen CT SW Ste 103
Cedar Rapids, IA 52404-3903

Mailing address

2272 Sugar Bottom Rd NE
Solon, IA 52333-9589
Phone (319) 624-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20241025000909 IA Practitioner - Mental Health Counselor 5698208940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians

Practice addresses (Care Compare)

1333 Buckeye Ave
Suite 1023
Ames, IA 50010-8073
Phone (415) 360-3348

2272 Sugar Bottom Rd NE
Solon, IA 52333-9589
Phone (319) 333-0399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085238IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Counseling & Wellness, PLLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Brightside Medical, P.a. CurrentSince Oct 1, 2024 Accepting new patients
Healthsource of Cedar Rapids SW, LLC PastSince Jan 24, 2016 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1333 Buckeye Ave
Ames, IA 50010

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

777 N Jefferson St
Ste 408
Milwaukee, WI 53202
Phone (414) 207-6425

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1881183390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 SUGAR BOTTOM RD NE",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339589",
            "telephone_number": "319-624-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 QUEEN CT SW STE 103",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043903",
            "telephone_number": "319-560-0230",
            "fax_number": "319-343-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "SUSAN",
        "middle_name": "CHRISTINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "085238",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.