MRS. SUSAN MARIE SHAW LPC
NPI 1679906879
Counselor - Professional in Fenton, MI
About Mrs. Susan Marie Shaw Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUSAN MARIE SHAW LPC (NPI 1679906879) is an individual professional provider in Fenton, Michigan, licensed in Michigan (6401224006) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Susan Marie Shaw Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Susan Shaw's NPI number?
The NPI number for Susan Shaw is 1679906879. It was assigned to this individual provider in the NPPES registry on August 12, 2013.
Where is Susan Shaw located?
Susan Shaw practices at 127 North River Street, Fenton, MI 48430. The listed phone number is (810) 309-9355.
What is Susan Shaw's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Susan Shaw enrolled in Medicare?
Yes. Susan Shaw is registered in the Medicare PECOS enrollment system.
What insurance does Susan Shaw accept?
Health plans from McLaren Health Plan Community and Priority Health list Susan 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 Susan Shaw was last updated on July 14, 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.
# Mrs. Susan Marie Shaw, LPC · NPI 1679906879
Professional provider in Fenton, Michigan. Individual provider, active in the CMS NPPES registry since August 12, 2013.
## Identity
- **NPI:** 1679906879 (Entity type: Individual)
- **Enumerated:** August 12, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401224006 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 127 NORTH RIVER STREET, Fenton, MI 48430
- **Phone:** (810) 309-9355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Wayne State University School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** July 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679906879) · Data from the CMS NPPES public registry.