Kristin M. Shaw, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

414 E Walnut St Ste 210
Green Bay, WI 54301-5020

Phone

(920) 455-0925

Fax

(920) 455-0925

NPI assigned

Apr 18, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559952000000",
    "number": "1467719211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 GARFIELD ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031919",
            "telephone_number": "920-217-7612",
            "fax_number": "920-455-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E WALNUT ST STE 210",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543015020",
            "telephone_number": "920-455-0925",
            "fax_number": "920-455-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KRISTIN",
        "middle_name": "M.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajeet Sharma, MD
• Arun Kumar Sharma, DDS
• Ethan T Shaver, PA
• David A. Shavlik, D.D.S.
• Jeffrey L Shaw, MD
• Lisa Shaw, MSW, LCSW
• Paige Shaw
• Loryn Sheahan
• Andrea Sheedy, COTA
• Amanda L Shefchik, NP

• Mental Health Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2019; 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.