Individual provider Active NPI

Katherine Ann Shaw, CT

  • Mental Health Counselor
  • Youngstown, OH
National Provider Identifier
1255959813
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5385 Market St
Youngstown, OH 44512-2246
Phone
(330) 952-2945
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5385 Market St
Youngstown, OH 44512-2246

Mailing address

5385 Market St
Youngstown, OH 44512-2246

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kshaw@compcareohio.com Direct Comprehensive Behavioral Health Associates, Inc.

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

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255959813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445122246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445122246",
            "telephone_number": "330-952-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshaw@compcareohio.com",
            "affiliation": "Y",
            "endpointDescription": "Agency Email Address",
            "affiliationName": "Comprehensive Behavioral Health Associates, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5385 Market St",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445122246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.