Kathleen Marie Shaw, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6700 Issued in 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

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innis Community Health Center, IncGroup PAC ID 9931130358, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innis Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Batchelor, LA
  • NPI 1205858388
  Medicare reassignment Care Compare group NPD
• Innis Community Health Center, Inc

  dba New Roads Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New Roads, LA
  • NPI 1053841072
  NPD
• Innis Community Health Center, Inc

  dba Livonia School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Livonia, LA
  • NPI 1578986006
  NPD
• Innis Community Health Center, Inc

  dba Livonia Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Livonia, LA
  • NPI 1003910167
  NPD (past)
• Insight Guidance Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1871957787
  NPD (past)
• The Extra Mile

  • Case Manager/Care Coordinator
  • Lafayette, LA
  • NPI 1336009000
  NPD (past)
• The Extra Mile, Region IV, Inc.

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1962777268
  NPD (past)

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1477080927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 LA HIGHWAY 1",
            "city": "BATCHELOR",
            "state": "LA",
            "postal_code": "707153212",
            "telephone_number": "225-618-5015",
            "fax_number": "225-442-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ROBERTS DR STE H",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602661",
            "telephone_number": "225-618-7800",
            "fax_number": "225-238-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77575 Landry Dr",
            "address_purpose": "LOCATION",
            "city": "Maringouin",
            "state": "LA",
            "postal_code": "707573210",
            "country_code": "US",
            "telephone_number": "225-625-2105",
            "fax_number": "225-625-2109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 N Vaughan Dr",
            "address_purpose": "LOCATION",
            "city": "Brusly",
            "state": "LA",
            "postal_code": "707192217",
            "country_code": "US",
            "telephone_number": "225-344-0008",
            "fax_number": "225-343-0626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 W Admiral Doyle Dr",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705606408",
            "country_code": "US",
            "telephone_number": "337-373-0002",
            "fax_number": "337-373-0129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 W Convent St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "70501",
            "country_code": "US",
            "telephone_number": "337-534-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6450 La Highway 1",
            "address_purpose": "LOCATION",
            "city": "Batchelor",
            "state": "LA",
            "postal_code": "707153212",
            "country_code": "US",
            "telephone_number": "225-618-5015",
            "fax_number": "225-442-3107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13770 Hwy 77",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "LA",
            "postal_code": "70772",
            "country_code": "US",
            "telephone_number": "225-687-5400",
            "fax_number": "225-442-3107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8387 Newfield Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "LA",
            "postal_code": "707553605",
            "country_code": "US",
            "telephone_number": "225-412-0202",
            "fax_number": "225-412-0366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 S Buchanan St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705016815",
            "country_code": "US",
            "telephone_number": "337-237-2090",
            "fax_number": "337-237-2083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8430 Pointe Coupee Rd",
            "address_purpose": "LOCATION",
            "city": "New Roads",
            "state": "LA",
            "postal_code": "707604317",
            "country_code": "US",
            "telephone_number": "225-638-3767",
            "fax_number": "225-638-4058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8387 Newfield Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "LA",
            "postal_code": "707553605",
            "country_code": "US",
            "telephone_number": "225-412-0404",
            "fax_number": "225-412-0342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6700",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6700",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond M Garrett (Raymonds Family Pharmacy)
• Regional Health Services LLC (Regional Medical Rental & Sales)
• Valerie A Richardson, RD
• Ronald John Rodney, LPC
• Naydean Lashon Ruffin-Brisco
• Southern Wellness
• Caroline Stagg, FNP
• Darica Strong, PTA
• Allison Sullivan, PA
• The Headstrong Group, L.L.C.

• Professional Counselor in New Roads, LA
• Providers in New Roads, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.