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

Roger Allen Shaw, LMFT

Individual provider Marriage & Family Therapist · NPI 1639373236

Roger Allen Shaw, LMFT is a Marriage & Family Therapist in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

See every abbreviation used in this directory →

Practice location Address checks out

1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Phone: (309) 820-3500
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X (IL)

Record details

NPI number1639373236
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESJuly 8, 2007

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