Organization Active NPI

Amber K Shaw Counseling

  • Professional Counselor
  • Bay City, MI
National Provider Identifier
1871206672
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AMBER K SHAW COUNSELING
Practice address
721 Washington Ave Ste 507
Bay City, MI 48708-5728
Phone
(989) 397-7703
NPI assigned
Dec 27, 2022
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Amber Shaw, LPCNPI 1316402829
Title
Sole Member
Phone
(989) 397-7703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

721 Washington Ave Ste 507
Bay City, MI 48708-5728

Mailing address

721 Washington Ave Ste 507
Bay City, MI 48708-5728
Phone (989) 397-7703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808002836 MI Part B Supplier - Clinic/Group Practice 6800333725 Receives reassigned benefits from 1 practitioner
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

721 Washington Ave
Ste 504
Bay City, MI 48708
Phone (989) 893-6030

721 Washington Ave
Ste 507
Bay City, MI 48708
Phone (989) 397-7703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1871206672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WASHINGTON AVE STE 507",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085728",
            "telephone_number": "989-397-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WASHINGTON AVE STE 507",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085728",
            "telephone_number": "989-397-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER K SHAW COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "989-397-7703",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.