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

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

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