Individual provider Active NPI

Barbara Jean Shock, MA, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1083309041
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4346 Issued in MN
Practice address
2730 Herschel St N Apt 322
Saint Paul, MN 55113-0033
Phone
(651) 983-7948
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4346 WI
Marriage & Family Therapist 106H00000X 4346 MN Primary

Addresses

Primary practice location

2730 Herschel St N Apt 322
Saint Paul, MN 55113-0033

Mailing address

2730 Herschel St N Apt 322
Saint Paul, MN 55113-0033
Phone (651) 983-7948

Other practice location 1

1751 Tower Dr W
Stillwater, MN 55082-7595
Phone (651) 439-2059 ext. 838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125000419 MN Practitioner - Marriage and Family Therapist 6204289317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Rush IncGroup PAC ID 8224131750, 19 clinicians

Practice addresses (Care Compare)

1751 Tower Dr W
Suite 200
Stillwater, MN 55082-7596
Phone (651) 439-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4346MNMDMarriage & Family Therapist
4346WIMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara J Shock LLC CurrentSince May 11, 2025 Accepting new patients
Rush Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1751 Tower Dr W
Ste 200
Stillwater, MN 55082
Phone (651) 439-2059

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1083309041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 HERSCHEL ST N APT 322",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551130033",
            "telephone_number": "651-983-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 HERSCHEL ST N APT 322",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551130033",
            "telephone_number": "651-983-7948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 Tower Dr W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550827595",
            "country_code": "US",
            "telephone_number": "651-439-2059 x838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCK",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "4346",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.