IndividualActive
Shyn Childress
NPI 1205494069 · Mental Health Counselor · Salem, OR
Provider details
- NPI number
- 1205494069
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 22995 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2110 State St Ste 202
Salem, OR 97301-4350
Phone: (503) 580-9819
Street-level locationGet directions
Mailing address
4556 14th Ct S
Salem, OR 97302-2305
Additional practice locations (1)
- 1118 Oak St SeSalem, OR 97301-4019Phone: (503) 400-5744
Registry dates
- Enumerated
- 2019-06-05
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.