Active NPI
Sherron Nicole Shaw Buchanan, LPC, CSAC
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1407123573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701005005
- Practice address
- 7900 Fortress PL
Richmond, VA 23231-6958 - Phone
- (804) 690-1879
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701005005 | VA | Primary |
Addresses
Primary practice location
7900 Fortress PL
Richmond, VA 23231-6958
Mailing address
7900 Fortress PL
Richmond, VA 23231-6958
Phone (804) 690-1879
Other names 1
- Sherron N Shaw
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 |
|---|---|---|---|
| 0701005005 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaw & Associates, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1407123573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 FORTRESS PL",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232316958",
"telephone_number": "804-690-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 FORTRESS PL",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232316958",
"telephone_number": "804-690-1879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW BUCHANAN",
"first_name": "SHERRON",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LPC, CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701005005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRON",
"last_name": "SHAW",
"middle_name": "N",
"credential": "LPC, CSAC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.