Ms Jennifer Grace Shaw, LMHC, CPT, CWS in University Place, WA

Ms Jennifer Grace Shaw, LMHC, CPT, CWS is a medicare enrolled "Counselor - Mental Health" provider in University Place, Washington. Her current practice location is 7312 35th Street Ct W Apt 6, University Place, Washington. You can reach out to her office (for appointments etc.) via phone at (808) 344-5404.

Ms Jennifer Grace Shaw is licensed to practice in Washington (license number LH60703859) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164753752.

Contact Information

	Ms Jennifer Grace Shaw, LMHC, CPT, CWS
	7312 35th Street Ct W Apt 6, University Place, WA 98466-4435
	(808) 344-5404
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jennifer Grace Shaw
Gender	Female
Speciality	Counselor - Mental Health
Location	7312 35th Street Ct W Apt 6, University Place, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164753752
Provider Enumeration Date: 01/20/2010
Last Update Date: 04/28/2026

Medicare PECOS Information:

PECOS PAC ID: 4587007554
Enrollment ID: I20240206004276

Medical Identifiers

Medical identifiers for Ms Jennifer Grace Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164753752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	256964 (Hawaii)	Secondary
101YM0800X	Counselor - Mental Health	MHC 207 (Hawaii)	Secondary
101YM0800X	Counselor - Mental Health	LH60703859 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Jennifer Grace Shaw allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - Washington, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063087856 PECOS PAC ID: 1052787488 Enrollment ID: O20221026000985

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer Grace Shaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Jennifer Grace Shaw, LMHC, CPT, CWS 7312 35th Street Ct W Apt 6, University Place, WA 98466-4435 Ph: (808) 344-5404	Ms Jennifer Grace Shaw, LMHC, CPT, CWS 7312 35th Street Ct W Apt 6, University Place, WA 98466-4435 Ph: (808) 344-5404

Reviews and Comments

Counselor in University Place, WA

Kimberly Lynn Singh, M.A.,L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7406 27th St W Ste 1, University Place, WA 98466 Phone: 253-691-3945
Maryann Hartman, CPC, BAS, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W Ste 300, University Place, WA 98466 Phone: 253-830-6242
Avery Aleece Stanton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W, University Place, WA 98466 Phone: 253-830-6242 Fax: 534-333-1062
Krystiana Morales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W Ste 300, University Place, WA 98466 Phone: 253-830-6242
Gordon Jablonski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3555 Market Pl W Apt 520, University Place, WA 98466 Phone: 253-448-4028
Bridgette Noll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W Ste 300, University Place, WA 98466 Phone: 253-830-6242
Christian Mbaeri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W Ste 300, University Place, WA 98466 Phone: 253-830-6242

Ms Jennifer Grace Shaw, LMHC, CPT, CWS - Medicare Counselor in University Place, WA