Active NPI
Christine A Shaw, LPC
- Professional Counselor
- Newtown SQ, PA
National Provider Identifier
1366105975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011289
- Practice address
- 31 Bishop Hollow Rd
Newtown SQ, PA 19073-3211 - Phone
- (610) 550-6424
- NPI assigned
- Oct 20, 2021
- Sex
- Female
- 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 | PC011289 | PA | Primary |
Addresses
Primary practice location
31 Bishop Hollow Rd
Newtown SQ, PA 19073-3211
Mailing address
31 Bishop Hollow Rd
Newtown SQ, PA 19073-3211
Phone (610) 995-2800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC011289 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1366105975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BISHOP HOLLOW RD",
"city": "NEWTOWN SQ",
"state": "PA",
"postal_code": "190733211",
"telephone_number": "610-995-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 BISHOP HOLLOW RD",
"city": "NEWTOWN SQ",
"state": "PA",
"postal_code": "190733211",
"telephone_number": "610-550-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "CHRISTINE",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown SQ, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.