Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy A Shock, LPC

Individual provider Professional Counselor · NPI 1073112348

Stacy A Shock, LPC is a Mental Health Counselor in Greenville, Texas. Qualified in 2014, 12 years ago. Practices with Brave Health Medical Group, PA, a 94-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4115 Joe Ramsey Blvd E Apt 258
Greenville, TX 75401-7771
Phone: (903) 274-6532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 79482 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence 79482 (TX)

Record details

NPI number1073112348
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 19, 2020
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing address4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401-7771

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Brave Health Medical Group, Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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