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KELLYANNE SHAW
NPI 1558117002
Counselor in Bowling Green, KY

Active since April 25, 2024
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103(270) 901-5000 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellyanne Shaw NPPES

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

KELLYANNE SHAW (NPI 1558117002) is an individual counselor in Bowling Green, Kentucky and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1558117002
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLYANNE SHAW
Location Address380 SUWANNEE TRAIL STBowling Green, KY 42103-7956
Mailing Address380 Suwannee Trail StBowling Green, KY 42103-7956
Phone(270) 901-5000
Sole ProprietorNo
Enumeration DateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1558117002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
380 SUWANNEE TRAIL ST, Bowling Green, KY 42103
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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.

VALORIE DUNCAN
Registered Nurse
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
LUCAS GREEN
Counselor
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
EMILEE NEALY
Counselor
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
MEGAN CARTER
Case Manager/Care Coordinator
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
LAURA BLACK
Counselor (Professional)
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
CHELSEY REEVES LCSW
Social Worker (Clinical)
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
LONDA STOCKTON CSW
Social Worker (Clinical)
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
ADRIANE A THIERY LPCC
Counselor (Professional)
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000

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 Kellyanne Shaw's NPI number?

The NPI number for Kellyanne Shaw is 1558117002. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Kellyanne Shaw located?

Kellyanne Shaw practices at 380 Suwannee Trail St, Bowling Green, KY 42103. The listed phone number is (270) 901-5000.

What is Kellyanne Shaw's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kellyanne Shaw was last updated on April 25, 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.