Individual provider Active NPI

Patricia Shaw, LPC-S

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1336126747
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17672 Issued in TX
Practice address
2882 Holly Rd
Corpus Christi, TX 78415-4106
Phone
(361) 814-2001
NPI assigned
Dec 28, 2005
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17672 TX
Professional Counselor 101YP2500X 17672 TX Primary

Addresses

Primary practice location

2882 Holly Rd
Corpus Christi, TX 78415-4106

Mailing address

PO Box 271792
Corpus Christi, TX 78427-1792
Phone (512) 577-2994

Other practice location 1

2746 San Antonio Ave
Ingleside, TX 78362-5725
Phone (512) 577-2994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240405000082 TX Practitioner - Mental Health Counselor 7113365495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17672TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Wellness Foundation Inc CurrentSince Feb 21, 2024 Accepting new patients
Coastal Bend Wellness Foundation Inc. CurrentSince Feb 21, 2024 Accepting new patients

Locations

2882 Holly Rd
Corpus Christi, TX 78415
Phone (361) 814-2001

5633 S Staples St
Ste 700
Corpus Christi, TX 78411
Phone (361) 814-2001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1336126747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271792",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784271792",
            "telephone_number": "512-577-2994",
            "fax_number": "737-255-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154106",
            "telephone_number": "361-814-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2746 San Antonio Ave",
            "address_purpose": "LOCATION",
            "city": "Ingleside",
            "state": "TX",
            "postal_code": "783625725",
            "country_code": "US",
            "telephone_number": "512-577-2994",
            "fax_number": "737-255-8607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17672",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.