Active NPI
Megan Elizabeth Shaw, LMFT, LADC
- Marriage & Family Therapist
- Golden Valley, MN
National Provider Identifier
1033481981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2930
- Practice address
- 1405 Lilac Dr N Ste 151
Golden Valley, MN 55422-4536 - Phone
- (763) 525-1746
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303908 | MN | |
| Marriage & Family Therapist | 106H00000X | 2930 | MN | Primary |
Addresses
Primary practice location
1405 Lilac Dr N Ste 151
Golden Valley, MN 55422-4536
Mailing address
1405 Lilac Dr N Ste 151
Golden Valley, MN 55422-4536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303908 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 2930 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1033481981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 LILAC DR N STE 151",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224536",
"fax_number": "763-951-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 LILAC DR N STE 151",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224536",
"telephone_number": "763-525-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"credential": "LMFT, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "303908",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.