MR. CORY IAN SHAFER LPC
NPI 1124364229
Counselor - Professional in Kingston, PA

Active since December 17, 2012
675 WYOMING AVE, KINGSTON, PA 18704(570) 332-2093 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Cory Ian Shafer Lpc NPPES

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

MR. CORY IAN SHAFER LPC (NPI 1124364229) is an individual professional provider in Kingston, Pennsylvania, licensed in Pennsylvania (PC005347) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1124364229
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CORY IAN SHAFERCredential: LPC
Location Address675 WYOMING AVEKingston, PA 18704-3831
Mailing Address102 N Welles AveKingston, PA 18704-5142 · (570) 905-4738
Sole ProprietorYes
Enumeration DateDecember 17, 2012
Last NPPES UpdateDecember 23, 2015
NPI 1124364229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC005347
675 WYOMING AVE, Kingston, PA 18704

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.

General Practice
675 WYOMING AVE
KINGSTON, PA 18704
Dietitian, Registered
675 WYOMING AVE
KINGSTON, PA 18704
General Practice
675 WYOMING AVE
KINGSTON, PA 18704
Physician Assistant
675 WYOMING AVE
KINGSTON, PA 18704
Dietitian, Registered
675 WYOMING AVE
KINGSTON, PA 18704
Physician Assistant (Medical)
675 WYOMING AVE
KINGSTON, PA 18704
General Practice
675 WYOMING AVE
KINGSTON, PA 18704
Physician Assistant (Medical)
675 WYOMING AVE
KINGSTON, PA 18704

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 Cory Shafer's NPI number?

The NPI number for Cory Shafer is 1124364229. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Where is Cory Shafer located?

Cory Shafer practices at 675 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 332-2093.

What is Cory Shafer's specialty?

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

When was this NPI record last updated?

The NPPES record for Cory Shafer was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.