Active NPI 1831739796 Individual Practitioner Female Practitioner

Shannon Marie Waters

Counselor - Professional • Eugene, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Waters is a certified Counselor - Professional practicing in Eugene, OR. With approximately 7 years of clinical experience since completing medical education in 2019, Shannon Waters delivers high-quality medical care to the local community at 2440 WILLAMETTE ST STE 201.

Shannon Waters accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2440 Willamette St Ste 201

Eugene, OR 974053170

Telephone 5413212278

Associated Practice Facility / Clinic

🏢 Arise Counseling Service, Llc. Dba Northlight Counseling Facility NPI 1447715834

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Eugene, OR

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -5.8 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

220 Specialists

Practicing in Eugene, OR (2601 Statewide)

Telehealth Adoption Rate

3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waters (7 Years) 7 Yrs

Eugene Specialty Average (12.8 Years) 12.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-01-25

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C6686

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500775892 (OR)

Secondary Practice Locations

223 Commercial St Ne Ste 205

Salem, OR 973014078

Phone: 5039662722

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Johnell Canfield , QMHP

Counselor - Mental Health

NPI 1023881950

Qualified Mental Health Professional

Tara Morse

Counselor - Mental Health

NPI 1023902095

Dawn Hansen

Counselor - Mental Health

NPI 1023906609

Jonathan West , MS

Counselor - Mental Health

NPI 1043825409

Master of Science

Haleigh Lopes

Counselor - Mental Health

NPI 1073382180

Ashleigh Buss

Counselor - Mental Health

NPI 1073407359

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Business Mailing Address January 25, 2024

Registered at 223 COMMERCIAL ST NE STE 205, SALEM, OR 973014078 (Tel: 5039662722)

👤

Provider Name / Credentials Updated January 25, 2024

Recorded as SHANNON WATERS

📍

Updated Practice Location August 30, 2022

Registered at 2440 WILLAMETTE ST STE 201, EUGENE, OR 974053170 (Tel: 5413212278)

👤

Provider Name / Credentials Updated August 30, 2022

Recorded as SHANNON WATERS, C6686

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2022

Counselor (License #C6686 in OR)

📍

Updated Practice Location October 19, 2020

Registered at 1275 NW ADAMS ST STE C, MCMINNVILLE, OR 971283549 (Tel: 5039662722)

📍

Updated Business Mailing Address October 19, 2020

Registered at 2555 PACIFIC BLVD, ALBANY, OR 973211841 (Tel: 5413212278)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Counselor (License #R6148 in OR)

✅

NPI Profile Active January 08, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2020

Registered at 665 COTTAGE ST NE, SALEM, OR 973012419 (Tel: 5039662722)

📍

Updated Business Mailing Address January 08, 2020

Registered at 1380 SUNTREE DR SE, SALEM, OR 973021841 (Tel: 5039571519)

👤

Provider Name / Credentials Updated January 08, 2020

Recorded as SHANNON WATERS, R6148

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2020

Counselor (License #R6148 in OR)

🟢

Initial NPI Registration & Enumeration January 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831739796

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 08, 2020

Last Update: January 25, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

223 Commercial St Ne Ste 205

Salem, OR 973014078

Phone: 5039662722

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.