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

Mr. Jason Thomas Shaw

Individual provider Counselor · NPI 1053065797

Mr. Jason Thomas Shaw is a Counselor in Tecumseh, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

407 S Occidental Rd
Tecumseh, MI 49286-1611
Phone: (734) 335-0877
Show map & directions

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

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 6362009479 (MI)
Counselor Taxonomy 101Y00000X

Record details

NPI number1053065797
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2022
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022
Mailing address6530 Secor Rd Ste 10, Lambertville, MI 48144-9456