Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578780912 Individual Practitioner Female Practitioner

Carrie Beth Shaw , LPC

Counselor - Professional • Longview, TX

Professional Overview & Biography Verified Profile Summary

Carrie Shaw, LPC is a registered healthcare professional specializing in Counselor - Professional in Longview, TX. Practice services are available at 411 N FREDONIA ST STE 114 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

411 N Fredonia St Ste 114

Longview, TX 756016467

Telephone 9032386924
Fax 4098771363

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
142 Specialists

Practicing in Longview, TX (21203 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 16092

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
177591801 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 04, 2025

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

📍
Updated Business Mailing Address November 04, 2025

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

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

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

📍
Updated Business Mailing Address July 08, 2007

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

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CARRIE SHAW, LPC

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

Counselor (License #16092 in TX)

🟢
Initial NPI Registration & Enumeration April 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.