Amberly Ann Shaw, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3706 New Boston Rd
Texarkana, TX 75501-3144

Phone

(903) 832-6690

Fax

(903) 832-4300

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: amberly.shaw@wchcl.eclinicaldirectplus.com

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1801951520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 NEW BOSTON RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755013144",
            "telephone_number": "903-832-6690",
            "fax_number": "903-832-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 NEW BOSTON RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755013144",
            "telephone_number": "903-832-6690",
            "fax_number": "903-832-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "AMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176248601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roshan L Sharma, M.D.
• Kristy Sharp, COTA/L
• Richard B Sharp, MD
• Hollie Elizabeth Sharrock, APRN-CNP, APRN-CNM
• Shaun'S Respiratory Solutions, LLP
• Caitlin Sheets, OTA
• Khalid Sherani, MD
• Aruna N. Sheth, M.D.
• Micheal Shields, PH.D.
• Shine on TXK Dayhab Services

• Professional Counselor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.