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

Jayda Keyerra Blount Shaw, LCPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891349148

Jayda Keyerra Blount Shaw, LCPC is an Addiction (Substance Use Disorder) Counselor in Truckee, California. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

10775 Pioneer Trl Ste 215
Truckee, CA 96161-0234
Phone: (415) 424-4266
Fax: (415) 520-6633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC12586 (MD)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ADT1995 (MD)

Record details

NPI number1891349148
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedJuly 25, 2019
Last updated in NPPESNovember 6, 2022
Certification dateNovember 6, 2022

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