Kelly Shaw, MS, LPC, NCC
NPI 1962068650 · Counselor · Eugene, OR
Enrolled with Medicare as Practitioner - Other (non-Physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Shaw, MS, LPC, NCC is a Counselor provider in Eugene, OR (NPI 1962068650).
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
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
Mailing address
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
Frequently asked questions
- What is Kelly Shaw's NPI number?
- Kelly Shaw's National Provider Identifier (NPI) is 1962068650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Shaw's specialty?
- Kelly Shaw is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Shaw located?
- Kelly Shaw's practice location on file with NPPES is 770 E 11th Ave Fl Ssb2, Eugene, OR 97401-3746.
- What is Kelly Shaw's phone number?
- The practice phone number listed in the NPPES registry for Kelly Shaw is (458) 205-7085.
- Does Kelly Shaw accept Medicare?
- Kelly Shaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Shaw's NPI active?
- Yes — Kelly Shaw's NPI (1962068650) is active in the NPPES registry as of the last update on 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.