STACY A SHOCK LPC
NPI 1073112348
Counselor - Mental Health in Greenville, TX
About Stacy A Shock Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY A SHOCK LPC (NPI 1073112348) is an individual mental health provider in Greenville, Texas, licensed in Texas (79482) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacy A Shock Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stacy Shock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33136
- Reassigned Medicare billing, Texas enrollment
- 128 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacy Shock's NPI number?
The NPI number for Stacy Shock is 1073112348. It was assigned to this individual provider in the NPPES registry on October 19, 2020.
Where is Stacy Shock located?
Stacy Shock practices at 4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401. The listed phone number is (903) 274-6532.
What is Stacy Shock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stacy Shock enrolled in Medicare?
Yes. Stacy Shock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stacy Shock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Shock reassigns Medicare benefits to Brave Health Medical Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Shock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Shock accept?
Health plans from Blue Cross and Blue Shield of Kansas City, Cigna Healthcare, Imperial Insurance Companies, Inc., UnitedHealthcare and WellPoint list Stacy Shock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stacy Shock was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacy A Shock, LPC · NPI 1073112348
Mental Health provider in Greenville, Texas. Individual provider, active in the CMS NPPES registry since October 19, 2020.
## Identity
- **NPI:** 1073112348 (Entity type: Individual)
- **Enumerated:** October 19, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 79482 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4115 JOE RAMSEY BLVD E APT 258, Greenville, TX 75401-7771
- **Phone:** (903) 274-6532
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Brave Health Medical Group PA (NPI 1225669161, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073112348) · Data from the CMS NPPES public registry.