Angel Shaw, M.ED, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

675 Town Square Blvd BLDG 1a
Garland, TX 75040-2992

Phone

(469) 640-0392

NPI assigned

May 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angel Shaw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Interoperability endpoints

• Direct secure messaging: angelking@tdh.allscriptsdirect.net

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.

• Hearts of Light Counseling & Consulting

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  • NPI 1902316359
  NPD Authorized official
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  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1376921502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD BLDG 1A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402992",
            "telephone_number": "469-640-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD BLDG 1A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402992",
            "telephone_number": "469-640-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ANGEL",
        "credential": "M.ED, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "SHAW",
            "credential": "M.ED, LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Stephanie Hugghins Shah, MD
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• Professional Counselor in Garland, TX
• Providers in Garland, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.