Individual provider Active NPI

Brian Keith Shaffer, LPC, LMHC, CPC, NCC

  • Professional Counselor
  • Chambersburg, PA
National Provider Identifier
1255857439
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1953 Ashley Dr
Chambersburg, PA 17201-3932
Phone
(866) 840-5286
Fax
(866) 840-5286
NPI assigned
Aug 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 3306 NH
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1953 Ashley Dr
Chambersburg, PA 17201-3932

Mailing address

PO Box 1420
Chambersburg, PA 17201-5420
Phone (866) 840-5286

Other practice location 1

55 Hamilton Rd
Chambersburg, PA 17201-8656
Phone (866) 840-5286

Other identifiers 1

IdentifierTypeStateIssuer
273824586MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI, NV, NH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240617001539 PA Practitioner - Mental Health Counselor 4385024041 Reassigns benefits to 4 organizations
I20241210003546 MI Practitioner - Mental Health Counselor 4385024041 Reassigns benefits to 2 organizations
I20250804004022 NV Practitioner - Mental Health Counselor 4385024041 Reassigns benefits to 1 organization
I20250827003311 NH Practitioner - Mental Health Counselor 4385024041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

589 Arch St
Meadville, PA 16335-2931
Phone (814) 333-8467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3306NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 6, 2024 Accepting new patients
Pennsylvania Counseling Services Inc. Counselor CurrentSince Sep 11, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Nov 1, 2024 Accepting new patients
Talkspace Provider Network Mi, PC CurrentSince May 22, 2025 Accepting new patients
Pennsylvania Counseling Services Inc Addiction (Substance Use Disorder) Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

200 N 7th St
Lebanon, PA 17046
Phone (717) 272-5464

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1255857439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1420",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172015420",
            "telephone_number": "866-840-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 ASHLEY DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013932",
            "telephone_number": "866-840-5286",
            "fax_number": "866-840-5286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172018656",
            "country_code": "US",
            "telephone_number": "866-840-5286",
            "fax_number": "866-840-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "LPC, LMHC, CPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "3306",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273824586",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.