Active NPI
Amanda Shaw, LMFT
- Marriage & Family Therapist
- Cookeville, TN
National Provider Identifier
1629862727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2464
- Practice address
- 448 Neal St
Cookeville, TN 38501-4781 - Phone
- (615) 708-3101
- NPI assigned
- Apr 5, 2025
- Last updated
- Apr 5, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2464 | TN | Primary |
Addresses
Primary practice location
448 Neal St
Cookeville, TN 38501-4781
Mailing address
149 Darlene Dr
Sparta, TN 38583-5848
Phone (615) 708-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Drexel University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brownsville Medical Clinic, P.a.
Practice addresses (Care Compare)
2565 N Washington Ave
Brownsville, TN 38012-1610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2464 | TN | MD | Mental Health Counselor |
Organizations & group practices 5
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.
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- NPI 1164251526
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- Bristol, TN
- NPI 1104277656
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743811200000",
"number": "1629862727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 DARLENE DR",
"city": "SPARTA",
"state": "TN",
"postal_code": "385835848",
"telephone_number": "615-708-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 NEAL ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014781",
"telephone_number": "615-708-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "AMANDA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-05",
"last_updated": "2025-04-05",
"certification_date": "2025-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "2464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.