Active NPI
Paramount Lee Shaw, LPC/MASTERS
- Counselor
- Charlotte, NC
National Provider Identifier
1093072258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5462
- Practice address
- 5500 Executive Center Dr Ste 106
Charlotte, NC 28212-8851 - Phone
- (864) 862-7384
- Fax
- (980) 224-7948
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5462 | SC | Primary |
Addresses
Primary practice location
5500 Executive Center Dr Ste 106
Charlotte, NC 28212-8851
Mailing address
815 Hellams St
Fountain Inn, SC 29644-9445
Phone (864) 862-7384
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 |
|---|---|---|---|
| 5462 | SC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1093072258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 HELLAMS ST",
"city": "FOUNTAIN INN",
"state": "SC",
"postal_code": "296449445",
"telephone_number": "864-862-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 EXECUTIVE CENTER DR STE 106",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282128851",
"telephone_number": "864-862-7384",
"fax_number": "980-224-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "PARAMOUNT",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "LPC/MASTERS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "5462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.