Individual provider Active NPI

Judith Sharon Shew, MC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1417199308
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1787 Issued in AZ
Practice address
616 E University Blvd
Tucson, AZ 85705-7855
Phone
(520) 870-7939
Fax
(520) 628-1407
NPI assigned
Mar 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-1787 AZ Primary

Addresses

Primary practice location

616 E University Blvd
Tucson, AZ 85705-7855

Mailing address

616 E University Blvd
Tucson, AZ 85705-7855
Phone (520) 870-7939

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

LicenseStateTypeSpecialty
LPC-1787AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1417199308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E UNIVERSITY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057855",
            "telephone_number": "520-870-7939",
            "fax_number": "520-628-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E UNIVERSITY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057855",
            "telephone_number": "520-870-7939",
            "fax_number": "520-628-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEW",
        "first_name": "JUDITH",
        "middle_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "MC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-1787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.