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Carrie Beth Shaw , LPC

Counselor - Professional β€’ Longview, TX

Active NPI 1578780912 Individual Practitioner Female Practitioner
Practice location in NPPES

411 N Fredonia St Ste 114
Longview, TX 756016467

Call 9032386924 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

411 N Fredonia St Ste 114

Longview, TX 756016467

Telephone 9032386924
Fax 4098771363

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Longview and Texas

140 active clinicians are listed under Counselor - Professional with a practice address in Longview, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

1.4% of these 140 clinicians have the CMS telehealth indicator.

10% of these 140 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 16092
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
177591801 (TX)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 04, 2025

Registered at 411 N FREDONIA ST STE 114, LONGVIEW, TX 756016467 (Tel: 9032386924)

πŸ“
Updated Business Mailing Address November 04, 2025

Registered at PO BOX 612, JUDSON, TX 756600612 (Tel: 9032386924)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 208 PINE TREE RD, LONGVIEW, TX 756044104 (Tel: 9032355862)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 834 COUNTRY PL, LONGVIEW, TX 756057407 (Tel: 9032386924)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as CARRIE SHAW, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: TX 16092)

🟒
Initial NPI Registration & Enumeration April 19, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578780912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2007
Last Update: November 04, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 612

Judson, TX 756600612

Phone: 9032386924

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.