Kathleen Marie Shaw, LPC
Individual provider Active NPI Professional Counselor · New Roads, LA
NPI 1477080927 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1477080927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6700 (LA)
- Practice address
- 230 Roberts Dr Ste H
New Roads, LA 70760-2661 - Phone
- (225) 618-7800
- Fax
- (225) 238-8330
- NPI assigned
- May 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Innis Community Health Center, Inc
Practice addresses (Care Compare)
230 Roberts Dr
New Roads, LA 70760-2661
Phone (225) 618-7800
6450 La Hwy 1
Batchelor, LA 70715-3212
Phone (225) 492-3775
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240708000243 | LA | Practitioner - Mental Health Counselor | 2466996012 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6700 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innis Community Health Center, Inc | Current |
Accepting new patients | |
| Innis Community Health Center, Inc | Current |
Accepting new patients | |
| Innis Community Health Center, Inc | Current | Accepting new patients | |
| Innis Community Health Center, Inc | Past | Accepting new patients | |
| Insight Guidance Group | Mental Health | Past |
Accepting new patients |
| The Extra Mile, Region IV, Inc. | Past | Accepting new patients | |
| The Extra Mile | Case Manager/Care Coordinator | Past |
Accepting new patients |
Locations
6450 LA Highway 1
Batchelor, LA 70715
Phone (225) 618-5015
630 N Vaughan Dr
Brusly, LA 70719
Phone (225) 344-0008
8387 Newfield Dr
Ste B
Livonia, LA 70755
Phone (225) 412-0202
8387 Newfield Dr
Livonia, LA 70755
Phone (225) 412-0202
230 Roberts Dr
New Roads, LA 70760
Phone (225) 618-0088
230 Roberts Dr
Ste H
New Roads, LA 70760
Phone (225) 618-7800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6700 | LA | |
| Professional Counselor | 101YP2500X | 6700 | LA | Yes |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
230 Roberts Dr Ste H
New Roads, LA 70760-2661
Mailing address
6450 La Highway 1
Batchelor, LA 70715-3212
Phone (225) 618-5015
Other practice location 1
630 N Vaughan Dr
Brusly, LA 70719-2217
Phone (225) 344-0008
Other practice location 2
77575 Landry Dr
Maringouin, LA 70757-3210
Phone (225) 625-2105
Other practice location 3
8387 Newfield Dr Ste A
Livonia, LA 70755-3605
Phone (225) 412-0404
Other practice location 4
611 W Admiral Doyle Dr
New Iberia, LA 70560-6408
Phone (337) 373-0002
Other practice location 5
6450 La Highway 1
Batchelor, LA 70715-3212
Phone (225) 618-5015
Other practice location 6
13770 Hwy 77
Rosedale, LA 70772
Phone (225) 687-5400
Other practice location 7
8387 Newfield Dr Ste B
Livonia, LA 70755-3605
Phone (225) 412-0202
Other practice location 8
525 S Buchanan St
Lafayette, LA 70501-6815
Phone (337) 237-2090
Other practice location 9
8430 Pointe Coupee Rd
New Roads, LA 70760-4317
Phone (225) 638-3767
Other practice location 10
113 W Convent St
Lafayette, LA 70501
Phone (337) 534-0770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2696785 | Medicaid | LA |
Other providers in New Roads, LA
- Raymond M Garrett
- Regional Health Services LLC
- Valerie A Richardson
- Ronald John Rodney
- Naydean Lashon Ruffin-Brisco
- Southern Wellness
- Caroline Stagg
- Darica Strong
- Allison Sullivan
- The Headstrong Group, L.L.C.
All providers in New Roads, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.