Kineret Shapira Sade

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R9151 Issued in OR

Practice address

3745 Portland Rd NE Ste 172
Salem, OR 97301-0528

Phone

(458) 258-3657

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kin Shapira Sade Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1144901109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6053 CORD LN SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973068950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 PORTLAND RD NE STE 172",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010528",
            "telephone_number": "458-258-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRA SADE",
        "first_name": "KINERET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIN",
            "last_name": "SHAPIRA SADE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle Sue Shannon, PHARMD, MSCR
• Jennifer Rose Shannon, LMFT
• Kendra Shannon, LPN
• Martina Andrea Shannon, PA-C
• William Shannon
• Laura Camille Shapiro
• Sharing and Caring LLC
• Rakeshwar Sharma, QMHP-INTERN
• Dave Sharp
• Desiree Celeste Sharp, LMT

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.