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JAYDA KEYERRA BLOUNT SHAW LCPC
NPI 1891349148
Counselor - Professional in Truckee, CA

Active since July 25, 2019
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161(415) 424-4266(415) 520-6633 Get Directions Write a Review

NPPES record last updated: November 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2022, Sep 23, 2022, Jul 25, 2019 (3 updates tracked since 2019).

About Jayda Keyerra Blount Shaw Lcpc NPPES

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

JAYDA KEYERRA BLOUNT SHAW LCPC (NPI 1891349148) is an individual professional provider in Truckee, California, licensed in Maryland (LC12586) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1891349148
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAYDA KEYERRA BLOUNT SHAWCredential: LCPC
Location Address10775 PIONEER TRL STE 215Truckee, CA 96161-0234
Mailing Address10775 Pioneer Trl Ste 215Truckee, CA 96161-0234 · (415) 424-4266 · Fax (415) 520-6633
Phone(415) 424-4266
Fax(415) 520-6633
Sole ProprietorYes
Enumeration DateJuly 25, 2019
Last NPPES UpdateNovember 6, 20223 updates tracked since enumeration
NPPES CertifiedNovember 6, 2022
✔ NPI 1891349148 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 MD · LC12586
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ADT1995 (MD)
10775 PIONEER TRL STE 215, Truckee, CA 96161
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Other Names 1

Former Name (1)Jayda Keyerra Blount

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.

LISA ANNE TAFT MSW, LMHC, LPC
Counselor (Mental Health)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
TAMMY LYNN HARPER MS, MAC, LMHC, SUDP
Counselor (Mental Health)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
KUAN HSUAN TU MSW, ACSW
Social Worker (Clinical)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
AYSIA JACKSON
Marriage & Family Therapist
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
MS. GISELLE MARIE SALAS MSW, ACSW
Social Worker (Clinical)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
DR. LINDARA L HALLORAN MD
Pediatrics
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
ELISHA ANTUANE DENTON MA, APCC
Counselor (Professional)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
SARA SAMADI MA, LMFT
Marriage & Family Therapist
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266

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 Jayda Blount Shaw's NPI number?

The NPI number for Jayda Blount Shaw is 1891349148. It was assigned to this individual provider in the NPPES registry on July 25, 2019. The provider is also known as Jayda Keyerra Blount.

Where is Jayda Blount Shaw located?

Jayda Blount Shaw practices at 10775 Pioneer Trl Ste 215, Truckee, CA 96161. The listed phone number is (415) 424-4266.

What is Jayda Blount Shaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Jayda Blount Shaw was last updated on November 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.