IndividualActive
Kelly Shaw, MS, LPC, NCC
NPI 1962068650 · Counselor · Eugene, OR
Provider details
- NPI number
- 1962068650
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MS, LPC, NCC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 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
83% of core fields populated
- Practice footprint23% of score
3 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
770 E 11th Ave Fl Ssb2
Eugene, OR 97401-3746
Phone: (458) 205-7085
Fax: (458) 205-7089
Street-level locationGet directions
Mailing address
Po Box 18
Vida, OR 97488-0018
Additional practice locations (2)
- 54771 Mckenzie HwyBlue River, OR 97413-9790Phone: (541) 771-1017
- 175 W B StSpringfield, OR 97477-4575Phone: (541) 762-1971
Registry dates
- Enumerated
- 2019-05-17
- Last updated
- 2023-11-14
- Certified
- 2023-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.