Jennifer Grace Shaw, LMHC, CPT, CWS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60703859 Issued in WA

Practice address

7312 35TH Street CT W Apt 6
University Place, WA 98466-4435

Phone

(808) 344-5404

NPI assigned

Jan 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Thriveworks Clinical - Washington, PC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1063087856
  Medicare reassignment NPD
• Neogenesis Nutrition Inc

  • Health Service Clinic/Center
  • University Place, WA
  • NPI 1861191868
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1164753752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 35TH STREET CT W APT 6",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664435",
            "telephone_number": "808-344-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 35TH STREET CT W APT 6",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664435",
            "telephone_number": "808-344-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JENNIFER",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "LMHC, CPT, CWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "256964",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC 207",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60703859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Grace Shaffstall, PHARMD
• Rakshya Shaha, CNA
• Emily Nicole Sharp, MSW
• Tomas Shash, L.M.P. B.S.-BIO
• Gary R Shaw, D.D.S.
• Robin Deanne Sheller
• Shelley Kelly Psychiatric Services LLC
• Glenda McGowen Shepard, ARNP
• Janice Shepard
• Ajainder Shergill, D.O., M.B.A

• Mental Health Counselor in University Place, WA
• Providers in University Place, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.