Audrey B Shaw, ALC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C3364A Issued in AL

Practice address

8104 Seaton PL
Montgomery, AL 36116-7204

Phone

(334) 272-3889

Fax

(334) 272-4089

NPI assigned

Jan 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Virginia A Brabham Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Behavioral Medicine LLC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1326423781
  NPD

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1861032609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 SEATON PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167204",
            "telephone_number": "334-272-3889",
            "fax_number": "334-272-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 SEATON PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167204",
            "telephone_number": "334-272-3889",
            "fax_number": "334-272-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "AUDREY",
        "middle_name": "B",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C3364A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "behavioralmedicine@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8104 Seaton Pl",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361167204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "BRABHAM",
            "middle_name": "A",
            "credential": "ALC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashwini Sharma, MD
• Marjorie Daphane Sharpe
• Peter Scott Shashy, MD
• Sara S Shashy, MD
• Caroline Thames Shaul
• Jodie Shedd, CRNP
• Shefa Medical Transportation
• Nicole M Sheffield, MD
• Paul E Sheffield, MD
• Muhammad Shehryar, MD

• Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.