STACY A SHOCK LPC
NPI 1073112348
Counselor - Mental Health in Greenville, TX

Active since October 19, 2020PECOS EnrolledAccepts Medicare Assignment
4115 JOE RAMSEY BLVD E APT 258, GREENVILLE, TX 75401(903) 274-6532 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2024, Oct 19, 2020 (2 updates tracked since 2020).

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

NPI1073112348
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACY A SHOCKCredential: LPC
Location Address4115 JOE RAMSEY BLVD E APT 258Greenville, TX 75401-7771
Mailing Address4115 Joe Ramsey Blvd E Apt 258Greenville, TX 75401-7771 · (903) 274-6532
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 19, 2020
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
NPI 1073112348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 79482
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 79482 (TX)
4115 JOE RAMSEY BLVD E APT 258, Greenville, TX 75401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8527567692
PECOS Enrollment IDI20250815002445
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

What insurance does Stacy Shock accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers 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.