1. Home
  2. Directory
  3. Illinois
  4. Avon
  5. Counselor
  6. NPI Profile

FRREDERICK GARDINER SHAW MS, LCPC
NPI 1770652224
Counselor - Mental Health in Avon, IL

Active since November 07, 2006

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frrederick Gardiner Shaw Ms, Lcpc NPPES

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

FRREDERICK GARDINER SHAW MS, LCPC (NPI 1770652224) is an individual mental health provider in Avon, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1770652224
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameFRREDERICK GARDINER SHAWCredential: MS, LCPC
Location Address6655 E. US 36Avon, IL 46123
Mailing Address575 Bennett LnCobden, IL 62920-3223 · (618) 893-6115
Phone(317) 272-3330
Sole ProprietorYes
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770652224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6655 E. US 36, Avon, IL 46123
Open in Google Maps ↗

Other Identifiers 2

Other073120IL · Health Alliance
Other9132002IL · Blue Cross Blue Shield

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 Frrederick Shaw's NPI number?

The NPI number for Frrederick Shaw is 1770652224. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Frrederick Shaw located?

Frrederick Shaw practices at 6655 E. Us 36, Avon, IL 46123. The listed phone number is (317) 272-3330.

What is Frrederick Shaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Frrederick Shaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.