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

SHASTA HICKMAN-SUPPES LMHC
NPI 1245885250
Counselor - Mental Health in Salem, OR

Active since August 06, 2019
1400 BROADWAY ST NE STE 206, SALEM, OR 97301(971) 303-9868 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2026, Aug 15, 2023, Jan 5, 2023 and 2 more (5 updates tracked since 2019).

About Shasta Hickman-suppes Lmhc NPPES

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

SHASTA HICKMAN-SUPPES LMHC (NPI 1245885250) is an individual mental health provider in Salem, Oregon, licensed in Oregon (C6107) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1245885250
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHASTA HICKMAN-SUPPESCredential: LMHC
Location Address1400 BROADWAY ST NE STE 206Salem, OR 97301-0504
Mailing Address1400 Broadway St Ne Ste 206Salem, OR 97301-0504 · (971) 303-9868
Phone(971) 303-9868
Sole ProprietorNo
Enumeration DateAugust 6, 2019
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1245885250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in OR · C6107✔ Licensed in WA · LH61102916✔ Licensed in WA · MC60943341
1400 BROADWAY ST NE STE 206, Salem, OR 97301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES

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

SHASTA HICKMAN COUNSELING AND COACHING PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1400 BROADWAY ST NE STE 206
SALEM, OR 97301
Marion County (971) 303-9868

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 Shasta Hickman-suppes's NPI number?

The NPI number for Shasta Hickman-suppes is 1245885250. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Shasta Hickman-suppes located?

Shasta Hickman-suppes practices at 1400 Broadway St NE Ste 206, Salem, OR 97301. The listed phone number is (971) 303-9868.

What is Shasta Hickman-suppes's specialty?

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

What insurance does Shasta Hickman-suppes accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Shasta Hickman-suppes 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 Shasta Hickman-suppes was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.