Active NPI
Joey N. Shaw, M. ED LPC
- Professional Counselor
- Edmond, OK
National Provider Identifier
1336332790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 340
- Practice address
- 501 E 15TH St
Edmond, OK 73013-5043 - Phone
- (405) 308-3128
- NPI assigned
- Aug 20, 2007
- Last updated
- May 29, 2009
- Sex
- Male
- 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 | 340 | OK | Primary |
Addresses
Primary practice location
501 E 15TH St
Edmond, OK 73013-5043
Mailing address
3905 N Bryant Ave
Edmond, OK 73034-4037
Phone (405) 308-3128
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": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1336332790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 N BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344037",
"telephone_number": "405-308-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E 15TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135043",
"telephone_number": "405-308-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "JOEY",
"middle_name": "N.",
"name_prefix": "Mr.",
"credential": "M. ED LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.