Easton Kirk Shaw
Counselor, Mental Health in Olympia, WA. Individual provider (NPI-1).
NPI number1528958006
StatusActive
Last updated in NPPESJul 7, 2025
Details
- NPI
- 1528958006
- Entity type
- Individual (NPI-1)
- Name
- Easton Kirk Shaw
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2025
- Certification date
- Jul 7, 2025
- Last updated
- Jul 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3436 Mary Elder Rd Ne # 98506Olympia, WA 98506-5050
Phone 360-522-7655
Mailing address
512 Franz Anderson Rd SeOlympia, WA 98501-2156
Phone 360-522-7655
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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