Active NPI
Marquita Shaver, PLPC
- Professional Counselor
- Byram, MS
National Provider Identifier
1205108198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P-0940
- Practice address
- 422 Willow Bay Dr
Byram, MS 39272-3502 - Phone
- (601) 292-9945
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P-0940 | MS | Primary |
Addresses
Primary practice location
422 Willow Bay Dr
Byram, MS 39272-3502
Mailing address
422 Willow Bay Dr
Byram, MS 39272-3502
Phone (601) 292-9945
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 |
|---|---|---|---|
| P-0940 | MS | MD | Professional Counselor |
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": "1726876800000",
"number": "1205108198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 WILLOW BAY DR",
"city": "BYRAM",
"state": "MS",
"postal_code": "392723502",
"telephone_number": "601-292-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 WILLOW BAY DR",
"city": "BYRAM",
"state": "MS",
"postal_code": "392723502",
"telephone_number": "601-292-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAVER",
"first_name": "MARQUITA",
"credential": "PLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "P-0940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Byram, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.