John Shaw

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701012978 Issued in VA

Practice address

8425 Dorsey Cir Ste 102
Manassas, VA 20110-4595

Phone

(540) 300-2789

NPI assigned

Nov 30, 2023

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

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1821864828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12714 OCCOQUAN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922721",
            "telephone_number": "202-436-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 DORSEY CIR STE 102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104595",
            "telephone_number": "540-300-2789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12714 Occoquan Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221922721",
            "country_code": "US",
            "telephone_number": "202-436-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Botzong Shapland, OTR/L
• Bharti Sharma, DDS
• Mudit Sharma, MD
• Natasha Erin Linton Sharpe, LPC
• Jennifer Shaw, M.A., PSY.D.
• Elena Mercedes Shea, MD
• Emily M Shea
• Patricia Sheffield
• Rozaleen S Shehata Nakhla
• Sheila Rao DDS PLC

• Professional Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.