Lee Shaw Jr, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

97306 Issued in CA

Legal business name

LEE SHAW JR, LLC

Practice address

6809 Indiana Ave Ste 166
Riverside, CA 92506-4221

Phone

(951) 500-9658

NPI assigned

Dec 16, 2017

Organization subpart

No

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

Authorized official

Name

Lee Shaw Jr., LMFTNPI 1972841047

Title

Owner

Phone

(951) 500-9658

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Shaw, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1972841047
  NPD (past) Authorized official
• Celeste Francesconi Rincon, AMFT

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1639982333
  NPD (past)

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

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1740796531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 INDIANA AVE STE 166",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064221",
            "telephone_number": "951-500-9658",
            "fax_number": "951-346-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 INDIANA AVE STE 166",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064221",
            "telephone_number": "951-500-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE SHAW JR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-16",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-500-9658",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "97306",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Lechuga Ayala
• Jose Guillermo Lechuga
• Patricia Lechuga
• Kristal M Ledesma
• Amorsolo Ledina, PA
• Jeanette H. Lee-Hua, MD
• Aaron J Lee, DO
• Ada Lee
• Alexis T Lee
• Alyssa Lee

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.