Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Shaw, LPC

Individual provider Mental Health Counselor · NPI 1003489279

Alyssa Shaw, LPC is a Mental Health Counselor in Springdale, Arkansas. Qualified in 2022, 4 years ago. Licensed in Arkansas.

Years since qualifying
4
Licensed in
AR
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3623 Johnson Mill Blvd Ste 103
Springdale, AR 72762-6412
Phone: (479) 435-4207
Fax: (479) 935-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P2504006 (AR)

Record details

NPI number1003489279
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 23, 2021
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing addressPo Box 9541, Fayetteville, AR 72703-0026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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