Individual provider Active NPI

Corey McCarthy Shaw, M.ED., LPCA

  • Professional Counselor
  • Cary, NC
National Provider Identifier
1215587357
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A10108 Issued in NC
Practice address
207 Longbridge Dr
Cary, NC 27518-9085
Phone
(770) 634-3625
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A10108 NC Primary

Addresses

Primary practice location

207 Longbridge Dr
Cary, NC 27518-9085

Mailing address

207 Longbridge Dr
Cary, NC 27518-9085

Other names 1

  • Ms. Corey Ann McCarthy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
A10108NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jan 17, 2024 Accepting new patients

Locations

100 Technology Dr
Ste A
Asheville, NC 28803
Phone (828) 251-6319

100 Renee Lynn Ct
Carrboro, NC 27510
Phone (919) 966-5156

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5701 Executive Center Dr
Ste 108
Charlotte, NC 28212
Phone (704) 563-4103

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

4301 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 445-5800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1215587357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LONGBRIDGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LONGBRIDGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189085",
            "telephone_number": "770-634-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "COREY",
        "middle_name": "MCCARTHY",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COREY",
            "last_name": "MCCARTHY",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.