ANDREW MICHAEL SHAW LCMHC
NPI 1548827975
Counselor - Mental Health in Raleigh, NC

Q: What is Andrew Shaw's NPI number?

The NPI number for Andrew Shaw is 1548827975. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Andrew Shaw's specialty?

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

Q: Is Andrew Shaw enrolled in Medicare?

No. Andrew Shaw has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Andrew Shaw was last updated on June 21, 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.

Active since May 21, 2019Opted out of Medicare · through Dec 15, 2027

4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609(919) 436-1817(919) 578-5025 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Mar 27, 2023, Dec 16, 2021 and 1 more (4 updates tracked since 2019).

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About Andrew Michael Shaw Lcmhc NPPES

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

ANDREW MICHAEL SHAW LCMHC (NPI 1548827975) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (14945) and active in the NPI registry since May 2019. The provider has opted out of Medicare through December 15, 2027.

NPPES Registry Identity

NPI1548827975

Entity TypeIndividual

Primary Taxonomy101YM0800X

Provider Legal NameANDREW MICHAEL SHAWCredential: LCMHC

Location Address4030 WAKE FOREST RD STE 349Raleigh, NC 27609-0010

Mailing AddressPmb 770, 4801 Glenwood Ave Ste 200Raleigh, NC 27612-3857

Phone(919) 436-1817

Fax(919) 578-5025

Sole ProprietorNo

Enumeration DateMay 21, 2019

Last NPPES UpdateJune 21, 20244 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1548827975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 14945

4030 WAKE FOREST RD STE 349, Raleigh, NC 27609

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Andrew Michael Shaw Lcmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2023 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2023

Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

ANN DEL ROSARIO MA

Community/Behavioral Health