KATHRYN M SHAFFER LPC
NPI 1073243085
Counselor - Professional in Bentonville, AR
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
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kathryn Shaffer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
Springdale, AR 72762
- Reassigned Medicare billing, Arkansas enrollment
- 140 clinicians in this Medicare group
Springdale, AR 72762
- Reassigned Medicare billing, Arkansas enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Kathryn Shaffer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Shaffer reassigns Medicare benefits to 3 organizations: Counseling Made For You, PLLC (Bentonville, AR), Arisa Health, Inc. (Springdale, AR) and Ozark Guidance Center, Inc (Springdale, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 months 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.
# Kathryn M Shaffer, LPC · NPI 1073243085
Professional provider in Bentonville, Arkansas. Individual provider, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1073243085 (Entity type: Individual)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2409007 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1202 NE MCCLAIN RD BLDG 7, Bentonville, AR 72712-3875
- **Phone:** (479) 545-1545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Counseling Made For You, PLLC (NPI 1447170873, Bentonville, AR); Arisa Health, Inc. (NPI 1437750411, Springdale, AR); Ozark Guidance Center, Inc (NPI 1609875186, Springdale, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073243085) · Data from the CMS NPPES public registry.