Jacob R Shaw
Peer Specialist • Basin, WY
Professional Overview & Biography Verified Profile Summary
Jacob Shaw is a registered healthcare professional specializing in Peer Specialist in Basin, WY. Practice services are available at 116 SOUTH 3RD STREET under active NPI credentials.
Practice Location & Contact Primary Location
116 South 3rd Street
Basin, WY 82410
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Basin, WY
Practicing in Basin, WY (89 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2023-12-13NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Case Manager/Care Coordinator
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Counselor - Addiction (Substance Use Disorder)
Counselor - Mental Health
Master of Arts, Licensed Professional Counselor, Licensed Athletic Trainer
Registered Nurse - Psychiatric/Mental Health, Adult
Registered Nurse
Counselor - Professional
Master of Science, Licensed Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 116 SOUTH 3RD STREET, BASIN, WY 82410 (Tel: 3075682020)
Registered at 1114 LANE 12, LOVELL, WY 824319555 (Tel: 3075486543)
Recorded as JACOB SHAW
Peer Specialist (License #143 in WY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1114 Lane 12
Lovell, WY 824319555
Phone: 3075486543
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.