Active NPI
Joseph A. Shaw, M.A., LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1497030597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63384
- Practice address
- 12700 Hillcrest Rd
Suite 250
Dallas, TX 75230-2033 - Phone
- (214) 923-7952
- NPI assigned
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 63384 | TX | Primary |
Addresses
Primary practice location
12700 Hillcrest Rd
Suite 250
Dallas, TX 75230-2033
Mailing address
4305 Mesa View Dr
Mesquite, TX 75150-4418
Phone (214) 923-7952
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63384 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1497030597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 MESA VIEW DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751504418",
"telephone_number": "214-923-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 HILLCREST RD",
"address_2": "SUITE 250",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302033",
"telephone_number": "214-923-7952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "JOSEPH",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.