JIAXI SHAO LPCC
NPI 1780460626
Counselor - Professional in San Jose, CA

Q: What is Jiaxi Shao's NPI number?

The NPI number for Jiaxi Shao is 1780460626. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Q: What is Jiaxi Shao's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jiaxi Shao was last updated on May 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment

1245 S WINCHESTER BLVD STE 110, SAN JOSE, CA 95128(925) 282-1778 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2025, Sep 6, 2023 (2 updates tracked since 2023).

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About Jiaxi Shao Lpcc NPPES

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

JIAXI SHAO LPCC (NPI 1780460626) is an individual professional provider in San Jose, California, licensed in California (19266) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780460626

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJIAXI SHAOCredential: LPCC

Location Address1245 S WINCHESTER BLVD STE 110San Jose, CA 95128-3908

Mailing Address1245 S Winchester Blvd Ste 110San Jose, CA 95128-3908 · (925) 282-1778

Phone(925) 282-1778

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 6, 2023

Last NPPES UpdateMay 5, 20252 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1780460626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · 19266

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License P124028 (NY), 19266 (CA)

1245 S WINCHESTER BLVD STE 110, San Jose, CA 95128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jiaxi Shao Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163940156

PECOS Enrollment IDI20250513003824

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.

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD DE LA GARZA LCSW

Social Worker (Clinical)