Individual provider Active NPI

Cynthia Shaver, LPC

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1417296872
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C7440 Issued in OR
Practice address
3085 River Rd N
Salem, OR 97303-6512
Phone
(541) 321-2278
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C7440 OR Primary

Addresses

Primary practice location

3085 River Rd N
Salem, OR 97303-6512

Mailing address

1075 Washington St
Eugene, OR 97401-4606
Phone (541) 321-2278

Other practice location 1

3000 Market St NE Ste 541
Salem, OR 97301-1835
Phone (503) 569-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240321000482 OR Practitioner - Mental Health Counselor 9638516040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arise Counseling Service LLCGroup PAC ID 5496104473, 22 clinicians

Practice addresses (Care Compare)

3085 River Rd N
Salem, OR 97303-6512
Phone (541) 321-2278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC CurrentSince Mar 7, 2024 Accepting new patients
Arise Counseling Service, LLC. Dba Northlight Counseling Professional CurrentSince Nov 30, 2025 Accepting new patients
Impact Behavioral Health LLC CurrentSince Jan 14, 2025 Accepting new patients

Locations

1075 Washington St
Eugene, OR 97401
Phone (541) 321-2278

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

3000 Market St NE
Salem, OR 97301
Phone (503) 585-5205

3085 River Rd N
Salem, OR 97303
Phone (541) 321-2278

3000 Market St NE
Ste 541
Salem, OR 97301
Phone (503) 584-1620

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 3

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1417296872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WASHINGTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014606",
            "telephone_number": "541-321-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 RIVER RD N",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973036512",
            "telephone_number": "541-321-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Market St NE Ste 541",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011835",
            "country_code": "US",
            "telephone_number": "503-569-3041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C7440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.