MR. MARTIN K SHAW LPC, LMFT
NPI 1215178926
Counselor - Professional in Fort Worth, TX

Active since March 11, 2009PECOS EnrolledAccepts Medicare Assignment
12650 N BEACH ST STE 114, FORT WORTH, TX 76244(940) 432-8631 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 27, 2024, Jan 12, 2017 (2 updates tracked since 2017).

About Mr. Martin K Shaw Lpc, Lmft NPPES

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

MR. MARTIN K SHAW LPC, LMFT (NPI 1215178926) is an individual professional provider in Fort Worth, Texas, licensed in Texas (63283) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1215178926
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARTIN K SHAWCredential: LPC, LMFT
Location Address12650 N BEACH ST STE 114Fort Worth, TX 76244-4245
Mailing Address4812 Maplewood AveWichita Falls, TX 76308-5312 · (940) 432-8631
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 11, 2009
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1215178926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 63283
12650 N BEACH ST STE 114, Fort Worth, TX 76244

Other Identifiers 2

Medicaid200595102TX
Medicaid200595101TX

Accepted Insurance

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

Mr. Martin K Shaw Lpc, Lmft 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 ID9931558483
PECOS Enrollment IDI20240304003166
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 3

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

Counselor (Professional)
12650 N BEACH ST STE 114
FORT WORTH, TX 76244
Nurse Practitioner (Psychiatric/Mental Health)
12650 N BEACH ST STE 114
FORT WORTH, TX 76244
Nurse Practitioner (Family)
12650 N BEACH ST STE 114
FORT WORTH, TX 76244

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 Martin Shaw's NPI number?

The NPI number for Martin Shaw is 1215178926. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Where is Martin Shaw located?

Martin Shaw practices at 12650 N Beach St Ste 114, Fort Worth, TX 76244. The listed phone number is (940) 432-8631.

What is Martin Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Martin Shaw enrolled in Medicare?

Yes. Martin 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.

What insurance does Martin Shaw accept?

Health plans from Blue Cross and Blue Shield of Texas, Providence Health Plan and UnitedHealthcare list Martin Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martin Shaw was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.