Active NPI
Elizabeth Helen Shaw, LMHC
- Mental Health Counselor
- Mansfield, MA
National Provider Identifier
1922535376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10000232
- Practice address
- 200 Chauncy St Ste 113
Mansfield, MA 02048-1200 - Phone
- (508) 388-1479
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10000232 | MA | Primary |
Addresses
Primary practice location
200 Chauncy St Ste 113
Mansfield, MA 02048-1200
Mailing address
23 Warren St W
Raynham, MA 02767-1314
Phone (508) 688-5987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000232 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1922535376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WARREN ST W",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027671314",
"telephone_number": "508-688-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CHAUNCY ST STE 113",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481200",
"telephone_number": "508-388-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ELIZABETH",
"middle_name": "HELEN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "10000232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.