Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHRYN M SHAFFER LPC
NPI 1073243085
Counselor - Professional in Bentonville, AR

Active since June 13, 2022PECOS EnrolledAccepts Medicare Assignment
1202 NE MCCLAIN RD BLDG 7, BENTONVILLE, AR 72712(479) 545-1545 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Aug 22, 2022 (2 updates tracked since 2022).

About Kathryn M Shaffer Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN M SHAFFER LPC (NPI 1073243085) is an individual professional provider in Bentonville, Arkansas, licensed in Arkansas (P2409007) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073243085
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHRYN M SHAFFERCredential: LPC
Location Address1202 NE MCCLAIN RD BLDG 7Bentonville, AR 72712-3875
Mailing Address9274 Commonwealth RdBentonville, AR 72712-8892 · (479) 545-1545
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2022
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1073243085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · P2409007
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A2208014 (AR)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1202 NE MCCLAIN RD BLDG 7, Bentonville, AR 72712

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathryn M Shaffer Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052842705
PECOS Enrollment IDI20241004001521
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1202 NE MCCLAIN RD BLDG 7
BENTONVILLE, AR 72712
Occupational Therapist (Pediatrics)
1202 NE MCCLAIN RD BLDG 7
BENTONVILLE, AR 72712
Nurse Practitioner (Family)
1202 NE MCCLAIN RD BLDG 7
BENTONVILLE, AR 72712
Counselor (Professional)
1202 NE MCCLAIN RD BLDG 7
BENTONVILLE, AR 72712
Counselor (Mental Health)
1202 NE MCCLAIN RD BLDG 7
BENTONVILLE, AR 72712
Behavior Analyst
1202 NE MCCLAIN RD BLDG 7
BENTONVILLE, AR 72712
Counselor (Professional)
1202 NE MCCLAIN RD BLDG 7
BENTONVILLE, AR 72712
Nurse Practitioner (Family)
1202 NE MCCLAIN RD BLDG 7
BENTONVILLE, AR 72712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Shaffer's NPI number?

The NPI number for Kathryn Shaffer is 1073243085. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Kathryn Shaffer located?

Kathryn Shaffer practices at 1202 NE Mcclain Rd Bldg 7, Bentonville, AR 72712. The listed phone number is (479) 545-1545.

What is Kathryn Shaffer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kathryn Shaffer enrolled in Medicare?

Yes. Kathryn Shaffer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Shaffer accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Kathryn Shaffer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Shaffer was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.