DOUGLAS DEAN SHUPE MS, LPC INTERN
NPI 1346556180
Counselor - Mental Health in Coos Bay, OR

Q: What is Douglas Shupe's NPI number?

The NPI number for Douglas Shupe is 1346556180. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Q: What is Douglas Shupe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Douglas Shupe was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 30, 2010PECOS Enrolled

281 LACLAIR ST, COOS BAY, OR 97420(541) 266-6782(541) 888-8726 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Douglas Dean Shupe Ms, Lpc Intern NPPES

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

DOUGLAS DEAN SHUPE MS, LPC INTERN (NPI 1346556180) is an individual mental health provider in Coos Bay, Oregon and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346556180

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameDOUGLAS DEAN SHUPECredential: MS, LPC INTERN

Location Address281 LACLAIR STCoos Bay, OR 97420-2988

Mailing Address281 Laclair StCoos Bay, OR 97420-2988 · (541) 266-6782 · Fax (541) 888-8726

Phone(541) 266-6782

Fax(541) 888-8726

Sole ProprietorNo

Enumeration DateAugust 30, 2010

Last NPPES UpdateApril 30, 2020

NPPES CertifiedApril 30, 2020

✔ NPI 1346556180 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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

281 LACLAIR ST, Coos Bay, OR 97420

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Dean Shupe Ms, Lpc Intern 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.

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.

ELIZABETH HARTE DAVENPORT QMHA

Case Manager/Care Coordinator