CHRISTINA MARIE SHAW LPCC
NPI 1972950087
Counselor - Mental Health in Willoughby, OH

Q: What is Christina Shaw's NPI number?

The NPI number for Christina Shaw is 1972950087. It was assigned to this individual provider in the NPPES registry on May 18, 2016. The provider is also known as Christina Marie Fowler.

Q: What is Christina Shaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Christina Shaw was last updated on January 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2016PECOS Enrolled

38882 MENTOR AVE, WILLOUGHBY, OH 44094(440) 953-9999(440) 918-3839 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2022, May 18, 2016 (2 updates tracked since 2016).

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About Christina Marie Shaw Lpcc NPPES

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

CHRISTINA MARIE SHAW LPCC (NPI 1972950087) is an individual mental health provider in Willoughby, Ohio, licensed in Ohio (E.0004161) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972950087

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCHRISTINA MARIE SHAWCredential: LPCC

Location Address38882 MENTOR AVEWilloughby, OH 44094-7875

Mailing Address38882 Mentor Ave.Mentor, OH 44094 · (440) 953-9999 · Fax (440) 918-3839

Phone(440) 953-9999

Fax(440) 918-3839

Sole ProprietorNo

Enumeration DateMay 18, 2016

Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration

NPPES CertifiedNovember 17, 2021

✔ NPI 1972950087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · E.0004161

38882 MENTOR AVE, Willoughby, OH 44094

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Other Names 1

Former Name (1)Christina Marie Fowler

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina Marie Shaw Lpcc 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.

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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.

DR. LIBBIE LOUISE STANSIFER M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)