STACI LYNNE SMOCK LCSW
NPI 1093261182
Social Worker - Clinical in Fort Collins, CO
About Staci Lynne Smock Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACI LYNNE SMOCK LCSW (NPI 1093261182) is an individual clinical provider in Fort Collins, Colorado, licensed in Kansas (4578) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
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
Staci Lynne Smock Lcsw 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 Staci Smock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Collins, CO 80525
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Mindful Therapy Group Of Colorado, PC
- 71 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
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 Staci Smock's NPI number?
The NPI number for Staci Smock is 1093261182. It was assigned to this individual provider in the NPPES registry on August 29, 2016.
Where is Staci Smock located?
Staci Smock practices at 300 Boardwalk Dr Unit 5A, Fort Collins, CO 80525. The listed phone number is (720) 334-8891.
What is Staci Smock's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Staci Smock enrolled in Medicare?
Yes. Staci Smock 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 Staci Smock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Staci Smock reassigns Medicare benefits to Mindful Therapy Group Of Colorado, P.C. (Fort Collins, CO). 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 Staci Smock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Staci Smock was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Staci Lynne Smock, LCSW · NPI 1093261182
Clinical provider in Fort Collins, Colorado. Individual provider, active in the CMS NPPES registry since August 29, 2016.
## Identity
- **NPI:** 1093261182 (Entity type: Individual)
- **Enumerated:** August 29, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 4578 (Kansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 BOARDWALK DR UNIT 5A, Fort Collins, CO 80525-3093
- **Phone:** (720) 334-8891 · **Fax:** (970) 223-2324
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mindful Therapy Group Of Colorado, P.C. (NPI 1124907407, Fort Collins, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** September 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093261182) · Data from the CMS NPPES public registry.