BARBARA JEAN SHOCK (MA, LMFT) – Marriage & Family Therapist, NPI 1083309041

BARBARA JEAN SHOCK (MA, LMFT) is a healthcare provider. based in Stillwater, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA, LMFT. They hold a License No. 4346 (WI). The NPI Number for BARBARA JEAN SHOCK (MA, LMFT) is 1083309041

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
BARBARA JEAN SHOCK (MA, LMFT)
NPI
1083309041
Phone
(651) 439-2059
Address
1751 Tower Dr W
Enumeration Date
6 April 2023
Last Update Date
5 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514392059
Graduation Year
2020 (6 years ago)
PAC ID
6204289317
Group Practice PAC ID
8224131750
Professional Enrollment ID
I20240125000419
Address ID
MN550827596ST1751XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for BARBARA JEAN SHOCK (MA, LMFT)

  • 1751 Tower Dr W

    Stillwater, MN 550827595

    Phone: (651) 439-2059

    Type: Location

  • 2730 HERSCHEL ST N APT 322

    SAINT PAUL, MN 551130033

    Phone: (651) 983-7948

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240125000419IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224131750View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical PsychologistFL
Mental Health CounselorFL
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

How do payers reference BARBARA JEAN SHOCK (MA, LMFT)?
For BARBARA JEAN SHOCK (MA, LMFT), use NPI 1083309041 as the unique 10-digit identifier.
Is there an active status for BARBARA JEAN SHOCK (MA, LMFT)?
For scheduling context, BARBARA JEAN SHOCK (MA, LMFT) is shown as active in the registry.
What kind of doctor is BARBARA JEAN SHOCK (MA, LMFT)?
BARBARA JEAN SHOCK (MA, LMFT) is associated with Marriage & Family Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with BARBARA JEAN SHOCK (MA, LMFT)?
Directory geography for BARBARA JEAN SHOCK (MA, LMFT) centers on Stillwater, Minnesota.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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