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DR. SHAWN R CRISWELL LPC
NPI 1295846483
Counselor - Mental Health in Salem, OR

Active since August 31, 2006PECOS Enrolled
4400 SALEM DALLAS HWY NW, SALEM, OR 97304(503) 575-6289 Get Directions Write a Review

NPPES record last updated: July 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2026, Dec 29, 2021 (2 updates tracked since 2021).

About Dr. Shawn R Criswell Lpc NPPES

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

DR. SHAWN R CRISWELL LPC (NPI 1295846483) is an individual mental health provider in Salem, Oregon, licensed in Oregon (C1079) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295846483
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. SHAWN R CRISWELLCredential: LPC
Location Address4400 SALEM DALLAS HWY NWSalem, OR 97304-3338
Mailing Address105 Woodson St Unit 499Amity, OR 97101-0809 · (503) 575-6289
Phone(503) 575-6289
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 18, 20262 updates tracked since enumeration
NPPES CertifiedJuly 18, 2026
✔ NPI 1295846483 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 · C1079✔ Licensed in WA · LH00005103
4400 SALEM DALLAS HWY NW, Salem, OR 97304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shawn R Criswell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shawn Criswell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Salem Rehabilitation, LLC
7.0 mi
Skilled Nursing Facility
3445 BOONE RD SE
Salem, OR 97317
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1215071998 (503) 576-3000

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 20

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

CUNNINGHAM WORTH
Student in an Organized Health Care Education/Training Program
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 991-5091
DR. LESLIE MONARCH LESLIE MONARCH LAC
Acupuncturist
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 208-6425
STIMSON COUNSELING, INC
Marriage & Family Therapist
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (209) 769-6412
CARMEN HILKE
Social Worker (Clinical)
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 991-5091
MRS. MONIQUE JALCA LCSW
Social Worker (Clinical)
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 991-5091
NATALIE NICOLE THAMERT LMT
Massage Therapist
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 991-5091
HEALING PATHWAYS COUNSELING LLC
Community/Behavioral Health
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (503) 798-7033
MRS. DEBBY JEAN DAVIS LPC
Counselor (Professional)
4400 SALEM DALLAS HWY NW
SALEM, OR 97304
Polk County (971) 301-0616

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 Shawn Criswell's NPI number?

The NPI number for Shawn Criswell is 1295846483. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Shawn Criswell located?

Shawn Criswell practices at 4400 Salem Dallas Hwy NW, Salem, OR 97304. The listed phone number is (503) 575-6289.

What is Shawn Criswell's specialty?

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

Is Shawn Criswell enrolled in Medicare?

Yes. Shawn Criswell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawn Criswell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Criswell reassigns Medicare benefits to South Salem Rehabilitation, LLC (Salem, OR). The 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 Shawn Criswell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Criswell accept?

Health plans from Kaiser Permanente list Shawn Criswell 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 Shawn Criswell was last updated on July 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.