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SHYN A CHILDRESS
NPI 1205494069
Counselor - Mental Health in Salem, OR

Active since June 05, 2019
2110 STATE ST STE 202, SALEM, OR 97301(503) 580-9819 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2019, Jun 5, 2019 (2 updates tracked since 2019).

About Shyn A Childress NPPES

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

SHYN A CHILDRESS (NPI 1205494069) is an individual mental health provider in Salem, Oregon and active in the NPI registry since June 2019. She maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1205494069
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHYN A CHILDRESS
Location Address2110 STATE ST STE 202Salem, OR 97301-4350
Mailing Address4556 14th Ct SSalem, OR 97302-2305 · (503) 400-5744
Phone(503) 580-9819
Sole ProprietorNo
Enumeration DateJune 5, 2019
Last NPPES UpdateAugust 5, 20192 updates tracked since enumeration
✔ NPI 1205494069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 22995 (OR)
2110 STATE ST STE 202, Salem, OR 97301
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Secondary Practice Location 1

Location 11118 Oak St SESalem, OR 97301-4019 · Phone (503) 400-5744

Other Identifiers 1

Medicaid122994OR

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 Shyn Childress's NPI number?

The NPI number for Shyn Childress is 1205494069. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Shyn Childress located?

Shyn Childress practices at 2110 State St Ste 202, Salem, OR 97301. The listed phone number is (503) 580-9819.

What is Shyn Childress's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shyn Childress was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.