STACEY KAY MOCK
NPI 1154901361
Social Worker - Clinical in Russellville, KY
About Stacey Kay Mock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY KAY MOCK (NPI 1154901361) is an individual clinical provider in Russellville, Kentucky, licensed in Kentucky (260182) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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
Stacey Kay Mock 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 Reassignments
3Medicare enrollment records show Stacey Mock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bowling Green, KY 42104
- Reassigned Medicare billing, Kentucky enrollment
- 52 clinicians in this Medicare group
Bowling Green, KY 42103
- Reassigned Medicare billing, Kentucky enrollment
- 91 clinicians in this Medicare group
Louisville, KY 40217
- Reassigned Medicare billing, Kentucky enrollment
- 201 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 42276 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 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacey Mock's NPI number?
The NPI number for Stacey Mock is 1154901361. It was assigned to this individual provider in the NPPES registry on April 12, 2021.
Where is Stacey Mock located?
Stacey Mock practices at 433 Shelton Ln, Russellville, KY 42276. The listed phone number is (270) 901-5000.
What is Stacey Mock's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Stacey Mock enrolled in Medicare?
Yes. Stacey Mock 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 organizations bill Medicare for Stacey Mock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Mock reassigns Medicare benefits to 3 organizations: Kw Consulting, LLC (Bowling Green, KY), Lifeskills, Inc. (Bowling Green, KY) and Kentucky Counseling Center, LLC (Louisville, KY). Each 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 Stacey Mock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Mock accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Stacey Mock 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 Stacey Mock was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Stacey Kay Mock · NPI 1154901361
Clinical provider in Russellville, Kentucky. Individual provider, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1154901361 (Entity type: Individual)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 260182 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 433 SHELTON LN, Russellville, KY 42276-7600
- **Phone:** (270) 901-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kw Consulting, LLC (NPI 1679127781, Bowling Green, KY); Lifeskills, Inc. (NPI 1669401816, Bowling Green, KY); Kentucky Counseling Center, LLC (NPI 1932590338, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154901361) · Data from the CMS NPPES public registry.