AUDREY SHAW M.S.
NPI 1790103224
Counselor - Professional in Brunswick, ME

Active since April 01, 2014PECOS Enrolled
16 LINCOLN ST, BRUNSWICK, ME 04011(603) 883-0005 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Audrey Shaw M.s. NPPES

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

AUDREY SHAW M.S. (NPI 1790103224) is an individual professional provider in Brunswick, Maine, licensed in Maine (CC5017) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790103224
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUDREY SHAWCredential: M.S.
Location Address16 LINCOLN STBrunswick, ME 04011-1900
Mailing Address123 Worthing RdManchester, ME 04351-3234 · (207) 530-1995
Sole ProprietorNo
Enumeration DateApril 1, 2014
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1790103224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · CC5017
Also ListedCounselorTaxonomy 101Y00000X · License CC5017 (ME)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 000591828 (TN)
16 LINCOLN ST, Brunswick, ME 04011

Other Names 1

Former Name (1)Audrey Moore

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Shaw M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Audrey Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
62 ELM ST
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 162 clinicians in this Medicare group
Clinical
1 MAIN ST
Nashua, NH 03064
  • Reassigned Medicare billing, Maine enrollment
  • 125 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
16 LINCOLN ST
BRUNSWICK, ME 04011

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 Audrey Shaw's NPI number?

The NPI number for Audrey Shaw is 1790103224. It was assigned to this individual provider in the NPPES registry on April 1, 2014. The provider is also known as Audrey Moore.

Where is Audrey Shaw located?

Audrey Shaw practices at 16 Lincoln St, Brunswick, ME 04011. The listed phone number is (603) 883-0005.

What is Audrey Shaw's specialty?

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

Is Audrey Shaw enrolled in Medicare?

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

Which organizations bill Medicare for Audrey Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Shaw reassigns Medicare benefits to 2 organizations: Spurwink Services Incorporated (Portland, ME) and The Counseling Center Of Nashua Inc (Nashua, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrey Shaw accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Taro Health list Audrey 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 Audrey Shaw was last updated on June 6, 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.