DOUGLAS DEAN SHUPE MS LPC INTERN NPI 1346556180

NPI Information

NPI: 1346556180
Provider Name: DOUGLAS DEAN SHUPE, MS, LPC INTERN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
281 LACLAIR ST
COOS BAY, OR
ZIP 97420
Phone: (541) 266-6782
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Douglas Dean Shupe, MS, LPC INTERN is a mental health counselor in Coos Bay, OR. Douglas Dean Shupe, MS, LPC INTERN NPI is 1346556180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

281 LACLAIR ST
COOS BAY, OR
ZIP 97420-988
Phone: (541) 266-6782
Fax: (541) 888-8726

The NPI 1346556180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 4/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	171M00000X	Case Manager/Care Coordinator				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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