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CAROLYN RENEE SHAW LPCC
NPI 1770433930
Counselor - Professional in Louisville, KY

Active since January 29, 2026PECOS Enrolled
914 E BROADWAY, LOUISVILLE, KY 40204(502) 589-8600(502) 589-8745 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolyn Renee Shaw Lpcc NPPES

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

CAROLYN RENEE SHAW LPCC (NPI 1770433930) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (305391) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770433930
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAROLYN RENEE SHAWCredential: LPCC
Location Address914 E BROADWAYLouisville, KY 40204-1037
Mailing Address10401 Linn Station Rd Ste 100Louisville, KY 40223-3842 · (502) 589-8600 · Fax (502) 589-8745
Phone(502) 589-8600
Fax(502) 589-8745
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1770433930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 305391
914 E BROADWAY, Louisville, KY 40204
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Renee Shaw Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719466952
PECOS Enrollment IDI20260209002475
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.

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.

JOSEPH SCHAEFER
Counselor
914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-1100
STEPHANIE STEWART
Counselor (Mental Health)
914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-1100
ELIZABETH SIEVWRIGHT
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
JULIANA GROSSI LCSW
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
EMILY MILLER
Social Worker
914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
NATASHA L SCHAEFER
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 587-8833
MR. WILLIAM HOWARD CREASMAN III LCSW
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 587-8833
MARIA E TREVINO
Social Worker (Clinical)
914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600

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 Carolyn Shaw's NPI number?

The NPI number for Carolyn Shaw is 1770433930. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Carolyn Shaw located?

Carolyn Shaw practices at 914 E Broadway, Louisville, KY 40204. The listed phone number is (502) 589-8600.

What is Carolyn Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Carolyn Shaw enrolled in Medicare?

Yes. Carolyn Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Shaw was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.