Rebecca Elizabeth Shala, LMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2355 State St Ste 101
Salem, OR 97301-4541

Phone

(971) 563-9142

NPI assigned

Mar 30, 2012

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Rebecca Shala Stauffer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Figs From Thistles Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, OR
  • NPI 1861117202
  NPD Authorized official

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1619243946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 SE 113TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163615",
            "telephone_number": "971-563-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "971-563-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALA",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60228176",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60454628",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "STAUFFER",
            "middle_name": "SHALA",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aidan James Shaffer
• Alex Renee Shaffer, PA-C
• Hannah Shaffer
• Kulsoom K Shah, L.AC.
• Michael Shahbazyan, RPH
• Nikolay Shalashov
• Willow Kiowa Shamain
• Stephanie Shambaugh
• Sarah E Shangraw, MD
• Shangri-la Corporation

• 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 7, 2022; 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.