Kerri Renae Shaw

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPCCANDIDATE11572 Issued in OK

Practice address

1071 W Blue Starr Dr Ste 101
Claremore, OK 74017-2869

Phone

(918) 760-2243

NPI assigned

Apr 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1154178010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24655 S ELIZA DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740191856",
            "telephone_number": "918-760-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 W BLUE STARR DR STE 101",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172869",
            "telephone_number": "918-760-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KERRI",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "LPCCANDIDATE11572",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "11572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine J Sexton, BS, MS LPC
• Tina Sexton
• Brianna Shamblin
• Rebecca Dee Shambrook, COTA
• Christopher J Shaw, LPC
• Kristin Shea, RN
• Emily Shearer, APRN-CNP
• Joandra C Shelley, PTA
• Deanna Shelton
• Tiffany Raychelle Shepherd, LCSW/MSW

• Counselor in Claremore, OK
• Providers in Claremore, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.