AUSTIN DECOCK (MS, LPCC) – Professional Counselor, NPI 1114334109

AUSTIN DECOCK (MS, LPCC) is a healthcare provider. based in Bemidji, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPCC. They hold a License No. CC00795 (MN). The NPI Number for AUSTIN DECOCK (MS, LPCC) is 1114334109

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN DECOCK (MS, LPCC)
NPI
1114334109
Phone
(218) 444-2845
Address
516 BELTRAMI AVE NW
Enumeration Date
22 July 2014
Last Update Date
22 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2184442845
Graduation Year
2011 (15 years ago)
PAC ID
0941726574
Group Practice PAC ID
2365768199
Professional Enrollment ID
I20250428001691
Address ID
MN566014278BE519XXNWXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for AUSTIN DECOCK (MS, LPCC)

  • 516 BELTRAMI AVE NW

    BEMIDJI, MN 566013010

    Phone: (218) 444-2845

    Fax: (218) 444-2847

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250428001691IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56601)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365768199View full group profile
NameSpecialtyState
Nurse PractitionerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMT
Marriage And Family TherapistMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows AUSTIN DECOCK (MS, LPCC) across health systems?
The NPI 1114334109 uniquely identifies AUSTIN DECOCK (MS, LPCC) in U.S. healthcare data.
Quick check: is AUSTIN DECOCK (MS, LPCC) active?
Public NPPES data shows AUSTIN DECOCK (MS, LPCC) with an active NPI status right now.
What services align with AUSTIN DECOCK (MS, LPCC)'s listing?
AUSTIN DECOCK (MS, LPCC)'s public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to AUSTIN DECOCK (MS, LPCC)?
AUSTIN DECOCK (MS, LPCC) shows a connection to Bemidji, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

JEAN RENE REYNOLDS (MSED, LPCC)

Professional Counselor
519, Anne Street Northwest, Hillcrest Manor, Bemidji, Beltrami County, Minnesota, 56601, United States
NPI: 1720143282
PO BOX 430
NPI: 1144437575

HEATHER FRACH (MS, LADC, LPCC)

Professional Counselor
PO BOX 1712
NPI: 1134300775
190 SAILSTAR DR NW
NPI: 1215119367

DIANE MARIE CERVEN (MA, LPCC)

Professional Counselor
516, Beltrami Avenue Northwest, Bemidji, Beltrami County, Minnesota, 56601, United States
NPI: 1790960987
210, Beltrami Avenue Northwest, Bemidji, Beltrami County, Minnesota, 56601, United States
NPI: 1225265747
11225 COUNTY 11
NPI: 1760763494
1001 MISSISSIPPI AVE NW
NPI: 1669759825