SUSAN SHAW I LCPC
NPI 1154795680
Counselor - Mental Health in South Portland, ME

Active since November 20, 2015PECOS EnrolledAccepts Medicare Assignment
50 LYDIA LN, SOUTH PORTLAND, ME 04106(207) 331-6102 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Shaw I Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN SHAW I LCPC (NPI 1154795680) is an individual mental health provider in South Portland, Maine, licensed in Maine (CC4414) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154795680
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN SHAW ICredential: LCPC
Location Address50 LYDIA LNSouth Portland, ME 04106-2156
Mailing Address50 Lydia LnSouth Portland, ME 04106-2156 · (207) 331-6102
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 20, 2015
NPI 1154795680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ME · CC4414
50 LYDIA LN, South Portland, ME 04106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Shaw I Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466899786
PECOS Enrollment IDI20240322000810
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
50 LYDIA LN
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
50 LYDIA LN
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
50 LYDIA LN
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
50 LYDIA LN
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
50 LYDIA LN
SOUTH PORTLAND, ME 04106
Counselor (Professional)
50 LYDIA LN
SOUTH PORTLAND, ME 04106
Counselor (Mental Health)
50 LYDIA LN
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
50 LYDIA LN
SOUTH PORTLAND, ME 04106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Shaw's NPI number?

The NPI number for Susan Shaw is 1154795680. It was assigned to this individual provider in the NPPES registry on November 20, 2015.

Where is Susan Shaw located?

Susan Shaw practices at 50 Lydia Ln, South Portland, ME 04106. The listed phone number is (207) 331-6102.

What is Susan Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Susan Shaw enrolled in Medicare?

Yes. Susan Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan Shaw was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.