Individual provider Active NPI

Amber Shaw, MA, LPC

  • Professional Counselor
  • Bay City, MI
National Provider Identifier
1316402829
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018035
Practice address
721 Washington Ave Ste 507
Bay City, MI 48708-5728
Phone
(989) 397-7703
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401018035 Primary
Professional Counselor 101YP2500X 6401015206 MI

Addresses

Primary practice location

721 Washington Ave Ste 507
Bay City, MI 48708-5728

Mailing address

721 Washington Ave Ste 507
Bay City, MI 48708-5728
Phone (989) 397-7703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808002964 MI Practitioner - Mental Health Counselor 9436696358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

721 Washington Ave
Suite 504
Bay City, MI 48708-5728
Phone (989) 778-1061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401015206MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amber K Shaw Counseling Professional CurrentSince Jan 1, 2024 Accepting new patients
Solutions Services, LLC PastSince Nov 20, 2022 Accepting new patients

Locations

721 Washington Ave
Ste 507
Bay City, MI 48708
Phone (989) 397-7703

721 Washington Ave
Ste 504
Bay City, MI 48708
Phone (989) 893-6030

Organizations & group practices 2

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1316402829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WASHINGTON AVE STE 507",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085728",
            "telephone_number": "989-397-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WASHINGTON AVE STE 507",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085728",
            "telephone_number": "989-397-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "AMBER",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "6401018035",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.