Janice Shabe, LCSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005358 Issued in VA

Practice address

2126 Jefferson Davis Highway
Suite 103
Stafford, VA 22554

Phone

(540) 658-0888

Fax

(540) 658-0855

NPI assigned

May 3, 2006

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insight Psychological Services, PLLC

  • Clinical Psychologist
  • Stafford, VA
  • NPI 1437567161
  NPD
• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1871551465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 SALEM VILLAGE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077663",
            "telephone_number": "540-373-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 JEFFERSON DAVIS HIGHWAY",
            "address_2": "SUITE 103",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "540-658-0888",
            "fax_number": "540-658-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABE",
        "first_name": "JANICE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005358",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945123",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "384750",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "231548",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sentara Therapy Solutions, LLC (Sentara Therapy Solutions)
• Sandie Renee Sermarini, OTR
• Jessica Serrao
• Brian Michael Serumaga, BPHARM, MPH, PHD
• Fatmata K Sesay
• Kaleigh Shaffer
• Zaid Ahmad Shafi
• Briya Shahid, LMSW, LGSW
• Muhammad Abdullah Shamim, DO
• Amanuel Borana Shano, YES

• Clinical Psychologist in Stafford, VA
• Providers in Stafford, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.