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

Myranda Jo Shaw

Individual provider Mental Health Counselor · NPI 1801375423

Myranda Jo Shaw is a Mental Health Counselor in Burnsville, Minnesota. Qualified in 2015, 11 years ago. Practices with Patricia Verby Psychological Services Inc, a 9-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
11
In the registry since
2018
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Practice location Address checks out

1751 Southcross Dr W
Burnsville, MN 55306-7012
Phone: (952) 892-7690
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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 CC01890

Record details

NPI number1801375423
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 14, 2018
Mailing address1751 Southcross Dr W, Burnsville, MN 55306-7012

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Patricia Verby Psychological Services Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Burnsville