Jayda Keyerra Blount Shaw, LCPC
NPI 1891349148ActiveIndividual· Counselor, Professional· Truckee, CA
Counselor, Professional (LCPC) in Truckee, California, licensed in MD, with an NPI issued in July 2019.
Overview
| NPI | 1891349148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | Yes |
| NPI issued | Jul 25, 2019 |
| Last updated in NPPES | Nov 6, 2022 |
| Certified by provider | Nov 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LC12586 | MD |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | ADT1995 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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