Lee Shaw, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

97306 Issued in CA

Practice address

5225 Canyon Crest Dr Ste 253
Riverside, CA 92507-6326

Phone

(951) 500-9658

Fax

(951) 346-5601

NPI assigned

Jan 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lee Shaw Jr, LLC

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1740796531
  NPD (past) Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1972841047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DR STE 253",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076326",
            "telephone_number": "951-500-9658",
            "fax_number": "951-343-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DR STE 253",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076326",
            "telephone_number": "951-500-9658",
            "fax_number": "951-346-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LEE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972841047",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "97306",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tori Shaver
• Lysle Shaw-McMinn, O.D.
• Cassandra Shaw
• Dina Shaw, OT
• Honorata Galit Shaw, CRNFA, NP-C
• London Shaw
• Rylee Shaw
• Zat Akbar Rizky Shaw
• Shawn Couture MD Inc
• Alia Shbeeb, M.D.

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.