IndividualActive
John Shaw
NPI 1821864828 · Professional Counselor · Manassas, VA
Provider details
- NPI number
- 1821864828
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0701012978 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8425 Dorsey Cir Ste 102
Manassas, VA 20110-4595
Phone: (540) 300-2789
Street-level locationGet directions
Mailing address
12714 Occoquan Rd
Woodbridge, VA 22192-2721
Additional practice locations (1)
- 12714 Occoquan RdWoodbridge, VA 22192-2721Phone: (202) 436-5459
Registry dates
- Enumerated
- 2023-11-30
- Last updated
- 2023-11-30
- Certified
- 2023-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.