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

Kevin B Shaw, LCP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639193105

Kevin B Shaw, LCP is a Mental Health Counselor in Ottawa, Kansas. Qualified in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
38
Licensed in
KS
In the registry since
2006
Specialties on file
2

Practice location Address checks out

109 W 2nd St
Ottawa, KS 66067-2212
Phone: (785) 242-2991
Fax: (785) 242-4401
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 065 (KS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 137 (KS)

Record details

NPI number1639193105
Entity typeIndividual (Type 1)
GenderMale
Credentials LCP
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ottawa