AMY SHAW LAC
NPI 1265068019
Counselor - Mental Health in Clinton, AR
About Amy Shaw Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY SHAW LAC (NPI 1265068019) is an individual mental health provider in Clinton, Arkansas, licensed in Arkansas (A2003047) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Shaw Lac 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.
Medicare Billing Reassignment
Medicare enrollment records show Amy Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 94 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON, AR 72031
CLINTON, AR 72031
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 Amy Shaw's NPI number?
The NPI number for Amy Shaw is 1265068019. It was assigned to this individual provider in the NPPES registry on March 12, 2020.
Where is Amy Shaw located?
Amy Shaw practices at 2526 Highway 65 S, Clinton, AR 72031. The listed phone number is (501) 745-8007.
What is Amy Shaw's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Amy Shaw enrolled in Medicare?
Yes. Amy 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.
Which organization bills Medicare for Amy Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Shaw reassigns Medicare benefits to Chenal Family Therapy, Plc (Little Rock, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Shaw accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Amy 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 Amy Shaw was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Amy Shaw, LAC · NPI 1265068019
Mental Health provider in Clinton, Arkansas. Individual provider, active in the CMS NPPES registry since March 12, 2020.
## Identity
- **NPI:** 1265068019 (Entity type: Individual)
- **Enumerated:** March 12, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A2003047 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2526 HIGHWAY 65 S, Clinton, AR 72031-6657
- **Phone:** (501) 745-8007 · **Fax:** (501) 745-8220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Chenal Family Therapy, Plc (NPI 1356604219, Little Rock, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1265068019) · Data from the CMS NPPES public registry.