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

Carolyn Renee Shaw, LPCC

Individual provider Professional Counselor · NPI 1770433930

Carolyn Renee Shaw, LPCC is a Mental Health Counselor in Louisville, Kentucky. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2026
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

914 E Broadway
Louisville, KY 40204-1037
Phone: (502) 589-8600
Fax: (502) 589-8745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 305391 (KY)

Record details

NPI number1770433930
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedJanuary 29, 2026
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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