Cherie R Shaw, LCDC-M.S, QMHP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17303 Issued in TX

Practice address

3529 Denton Hwy Ste D
Haltom City, TX 76117-3293

Phone

(817) 759-0707

Fax

(817) 759-0828

NPI assigned

Dec 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• TX Otp, LLC

  dba MAT Texas

  • Methadone Clinic
  • Grand Prairie, TX
  • NPI 1205582822
  NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1144098781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N HWY 360 STE 1904",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501040",
            "telephone_number": "469-460-7090",
            "fax_number": "469-460-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 DENTON HWY STE D",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173293",
            "telephone_number": "817-759-0707",
            "fax_number": "817-759-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHERIE",
        "middle_name": "R",
        "credential": "LCDC-M.S, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "17303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celestia Dawn Schwab
• SD Haltom City PLLC
• Khankham Kaitlyn Senesoury, NP
• Veronica Settles, LVN
• Hamid Jay Shafi, DDS
• Ibrahim Shehadeh
• Joanna Shores, MS CCC SLP
• Andrea Silvestri, DDS
• SK Dental PLLC
• Christina G Smith, B.S., M.A, LPC

• Addiction (Substance Use Disorder) Counselor in Haltom City, TX
• Providers in Haltom City, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.