JEFF SHAW LMHC CAP
NPI 1477240547
Counselor - Mental Health in Davie, FL

Active since April 19, 2023PECOS EnrolledAccepts Medicare Assignment
2659 SW 74TH TER, DAVIE, FL 33314(954) 614-9874 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jeff Shaw Lmhc Cap NPPES

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

JEFF SHAW LMHC CAP (NPI 1477240547) is an individual mental health provider in Davie, Florida and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1477240547
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFF SHAWCredential: LMHC CAP
Location Address2659 SW 74TH TERDavie, FL 33314-1109
Mailing Address2659 Sw 74th TerDavie, FL 33314-1109 · (964) 614-9874
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateApril 19, 2023
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedApril 19, 2023
✔ NPI 1477240547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2659 SW 74TH TER, Davie, FL 33314

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

Jeff Shaw Lmhc Cap 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 ID8123506169
PECOS Enrollment IDI20260130002112
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeff Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 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.

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 Jeff Shaw's NPI number?

The NPI number for Jeff Shaw is 1477240547. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Jeff Shaw located?

Jeff Shaw practices at 2659 SW 74th Ter, Davie, FL 33314. The listed phone number is (954) 614-9874.

What is Jeff Shaw's specialty?

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

Is Jeff Shaw enrolled in Medicare?

Yes. Jeff 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 Jeff Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeff Shaw reassigns Medicare benefits to Senior Living Memory Health, Inc. (North Miami Beach, FL). 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 Jeff Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeff Shaw accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jeff 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 Jeff Shaw was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.