JARON LAVELL SHAW
NPI 1457704793
Counselor - Mental Health in Tulsa, OK
About Jaron Lavell Shaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARON LAVELL SHAW (NPI 1457704793) is an individual mental health provider in Tulsa, Oklahoma and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaron Lavell Shaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaron Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tulsa, OK 74106
- Reassigned Medicare billing, Oklahoma enrollment
- 14 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jaron Shaw's NPI number?
The NPI number for Jaron Shaw is 1457704793. It was assigned to this individual provider in the NPPES registry on July 21, 2016.
Where is Jaron Shaw located?
Jaron Shaw practices at 1860 E 15th St, Tulsa, OK 74104. The listed phone number is (918) 949-4430.
What is Jaron Shaw's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jaron Shaw enrolled in Medicare?
Yes. Jaron Shaw is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaron Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaron Shaw reassigns Medicare benefits to Sydlyfe Counseling Services, LLC (Tulsa, OK). 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 Jaron Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaron Shaw accept?
Health plans from Oscar Insurance Company and UnitedHealthcare list Jaron 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 Jaron Shaw was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jaron Lavell Shaw · NPI 1457704793
Mental Health provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since July 21, 2016.
## Identity
- **NPI:** 1457704793 (Entity type: Individual)
- **Enumerated:** July 21, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1860 E 15TH ST, Tulsa, OK 74104-4611
- **Phone:** (918) 949-4430
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sydlyfe Counseling Services, LLC (NPI 1154669828, Tulsa, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1457704793) · Data from the CMS NPPES public registry.