Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821864828 Individual Practitioner Male Practitioner

John Shaw

Counselor - Professional • Manassas, VA

Professional Overview & Biography Verified Profile Summary

John Shaw is a registered healthcare professional specializing in Counselor - Professional in Manassas, VA. Practice services are available at 8425 DORSEY CIR STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8425 Dorsey Cir Ste 102

Manassas, VA 201104595

Telephone 5403002789
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Manassas, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
137 Specialists

Practicing in Manassas, VA (6609 Statewide)

Telehealth Adoption Rate
3.6% 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: 2023-11-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701012978

Definition to come...

Secondary Practice Locations

12714 Occoquan Rd

Woodbridge, VA 221922721

Phone: 2024365459

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Gillie Kehoe , CNM

Advanced Practice Midwife

NPI 1508131335

Certified Nurse Midwife

Dr. Stephen Band , PhD

Counselor - Professional

NPI 1518304427

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2023

Registered at 8425 DORSEY CIR STE 102, MANASSAS, VA 201104595 (Tel: 5403002789)

📍
Updated Business Mailing Address November 30, 2023

Registered at 12714 OCCOQUAN RD, WOODBRIDGE, VA 221922721 (Tel: 2024365459)

👤
Provider Name / Credentials Updated November 30, 2023

Recorded as JOHN SHAW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2023

Counselor (License #0701012978 in VA)

🟢
Initial NPI Registration & Enumeration November 30, 2023

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: 1821864828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2023
Last Update: November 30, 2023
Sole Proprietor: Yes

Mailing Address

12714 Occoquan Rd

Woodbridge, VA 221922721

Phone: 2024365459

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.