DEANNE T SHAW (LMFT) – Marriage & Family Therapist, NPI 1699095661

DEANNE T SHAW (LMFT) is a healthcare provider. based in Buffalo, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 2120 (MN). The NPI Number for DEANNE T SHAW (LMFT) is 1699095661

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DEANNE T SHAW (LMFT)
NPI
1699095661
Phone
(763) 233-6800
Address
1630 Anderson Ave
Enumeration Date
1 June 2010
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632336800
Graduation Year
2004 (22 years ago)
PAC ID
6608014907
Group Practice PAC ID
8921413675
Professional Enrollment ID
I20240220004426
Address ID
MN553132949BU1630XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for DEANNE T SHAW (LMFT)

  • 1630 Anderson Ave

    Buffalo, MN 553132945

    Phone: (763) 233-6800

    Type: Location

  • 1001 HIGHWAY 7

    SUITE 305

    HOPKINS, MN 553054723

    Phone: (952) 938-7040

    Fax: (952) 938-4708

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240220004426IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55313)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921413675View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What is the standard ID for DEANNE T SHAW (LMFT) in the U.S.?
In the U.S., DEANNE T SHAW (LMFT) is identified by NPI 1699095661.
Does the public listing show DEANNE T SHAW (LMFT) as active?
DEANNE T SHAW (LMFT)'s NPI record reflects an active status in NPPES.
How should patients interpret DEANNE T SHAW (LMFT)'s specialty?
The extract shows Marriage & Family Therapist for DEANNE T SHAW (LMFT). Clinical services aligned with this taxonomy classification.
Is DEANNE T SHAW (LMFT) tied to Buffalo, Minnesota?
If you are local to Buffalo, Minnesota, DEANNE T SHAW (LMFT) may be relevant to your search.
Can I export DEANNE T SHAW (LMFT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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