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DANIELLE SHAW
NPI 1417575408
Counselor - Mental Health in Chicago, IL

Active since July 07, 2020PECOS Enrolled
1438 W BELMONT AVE STE 1, CHICAGO, IL 60657(312) 508-3645 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Danielle Shaw NPPES

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

DANIELLE SHAW (NPI 1417575408) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417575408
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDANIELLE SHAW
Location Address1438 W BELMONT AVE STE 1Chicago, IL 60657-2166
Mailing Address262 E Saint Charles Rd Apt GaCarol Stream, IL 60188-2325
Phone(312) 508-3645
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
✔ NPI 1417575408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1438 W BELMONT AVE STE 1, Chicago, IL 60657
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Shaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476061730
PECOS Enrollment IDI20250806002679
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.

COURTNEY S WILSON LPC
Counselor (Professional)
1438 W BELMONT AVE STE 1
CHICAGO, IL 60657
Cook County (312) 508-3645
MEENA DUGATKIN PSY AIT MA
Psychologist (Clinical Child & Adolescent)
1438 W BELMONT AVE STE 1
CHICAGO, IL 60657
Cook County (312) 508-3645
MARAT KUCHERINA
Counselor
1438 W BELMONT AVE STE 1
CHICAGO, IL 60657
Cook County (312) 508-3645
SERGEI DEPTULA LPC
Counselor (Professional)
1438 W BELMONT AVE STE 1
CHICAGO, IL 60657
Cook County (312) 508-3645
EMILY LAMBERT
Counselor (Mental Health)
1438 W BELMONT AVE STE 1
CHICAGO, IL 60657
Cook County (312) 508-3645
SUSANNAH LILIE LCSW
Social Worker (Clinical)
1438 W BELMONT AVE STE 1
CHICAGO, IL 60657
Cook County (312) 508-3645
MALLORY MACK
Social Worker
1438 W BELMONT AVE STE 1
CHICAGO, IL 60657
Cook County (312) 508-3645
MIA ZERA LCSW
Social Worker (Clinical)
1438 W BELMONT AVE STE 1
CHICAGO, IL 60657
Cook County (312) 508-3645

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 Danielle Shaw's NPI number?

The NPI number for Danielle Shaw is 1417575408. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Where is Danielle Shaw located?

Danielle Shaw practices at 1438 W Belmont Ave Ste 1, Chicago, IL 60657. The listed phone number is (312) 508-3645.

What is Danielle Shaw's specialty?

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

Is Danielle Shaw enrolled in Medicare?

Yes. Danielle Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Danielle Shaw was last updated on July 7, 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.