Jamie Gilbert Shawn, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0701011633 Issued in VA

Practice address

5000 New Point Rd Ste 3201
Williamsburg, VA 23188-9423

Phone

(757) 645-3558

Fax

(757) 645-3668

NPI assigned

Sep 15, 2022

Sex

Male

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

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.

• Addiction Recovery Center of Virginia

  • Clinic/Center
  • Williamsburg, VA
  • NPI 1811407042
  NPD
• Success in Mind of Virginia LLC

  dba Success Behavioral Health Services

  • Professional Counselor
  • Williamsburg, VA
  • NPI 1952812810
  NPD (past)

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1629790795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W QUEENS DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854919",
            "telephone_number": "540-588-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NEW POINT RD STE 3201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889423",
            "telephone_number": "757-645-3558",
            "fax_number": "757-645-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 McLaws Cir Ste 1",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231855799",
            "country_code": "US",
            "telephone_number": "757-345-6428",
            "fax_number": "757-345-6808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAWN",
        "first_name": "JAMIE",
        "middle_name": "GILBERT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701011633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Shackleford
• Zachary Shaeffer, PHARMD
• Andrew Shaffer, PHARMD
• Maria Soledad Aquino Shanks, PT
• Sharper Counseling, LLC.
• Daniel A Shaye, D.C.
• Kathy Shea, APN, CFNP
• Ashley Shearer, NBC-HWC
• Marian Shearin
• Rebecca Sheffield, L.P.C.

• Counselor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2023; 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.