Individual provider Active NPI

Rachel Cherice Shaw, M.S., LMFT

  • Marriage & Family Therapist
  • Corona, CA
National Provider Identifier
1780049064
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT96010 Issued in CA
Practice address
2279 Eagle Glen Pkwy Ste 112
Corona, CA 92883-0790
Phone
(951) 290-8093
Fax
(951) 823-5719
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT96010 CA Primary

Addresses

Primary practice location

2279 Eagle Glen Pkwy Ste 112
Corona, CA 92883-0790

Mailing address

2279 Eagle Glen Pkwy Ste 112
Corona, CA 92883-0790
Phone (951) 290-8093

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 Science

State licenses

LicenseStateTypeSpecialty
LMFT96010CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seeds of Hope Counseling Marriage & Family Therapist CurrentSince Nov 1, 2021 Accepting new patients

Locations

2279 Eagle Glen Pkwy
Ste 112
Corona, CA 92883
Phone (951) 290-8093

2900 Adams St
Ste C100
Riverside, CA 92504

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1780049064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 EAGLE GLEN PKWY STE 112",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830790",
            "telephone_number": "951-290-8093",
            "fax_number": "951-823-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 EAGLE GLEN PKWY STE 112",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830790",
            "telephone_number": "951-290-8093",
            "fax_number": "951-823-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RACHEL",
        "middle_name": "CHERICE",
        "name_prefix": "Ms.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT96010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.