SHADD CUNNINGHAM
NPI 1508306259
Counselor in Klamath Falls, OR

Active since February 28, 2017
2074 S 6TH ST, KLAMATH FALLS, OR 97601(541) 880-2011 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shadd Cunningham NPPES

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

SHADD CUNNINGHAM (NPI 1508306259) is an individual counselor in Klamath Falls, Oregon and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1508306259
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSHADD CUNNINGHAM
Location Address2074 S 6TH STKlamath Falls, OR 97601-3372
Mailing Address2074 S 6th StKlamath Falls, OR 97601-3372
Sole ProprietorNo
Enumeration DateFebruary 28, 2017
NPI 1508306259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2074 S 6TH ST, Klamath Falls, OR 97601

Other Identifiers 3

Medicare PIN38-1845OR
Medicaid170061OR
Medicare PINR101150OR

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.

Physician Assistant
2074 S 6TH ST
KLAMATH FALLS, OR 97601
Dentist
2074 S 6TH ST
KLAMATH FALLS, OR 97601
Licensed Practical Nurse
2074 S 6TH ST
KLAMATH FALLS, OR 97601
Nurse Practitioner (Primary Care)
2074 S 6TH ST
KLAMATH FALLS, OR 97601
Registered Nurse
2074 S 6TH ST
KLAMATH FALLS, OR 97601
Pharmacist
2074 S 6TH ST
KLAMATH FALLS, OR 97601
Case Manager/Care Coordinator
2074 S 6TH ST
KLAMATH FALLS, OR 97601
Dentist
2074 S 6TH ST
KLAMATH FALLS, OR 97601

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 Shadd Cunningham's NPI number?

The NPI number for Shadd Cunningham is 1508306259. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Where is Shadd Cunningham located?

Shadd Cunningham practices at 2074 S 6th St, Klamath Falls, OR 97601. The listed phone number is (541) 880-2011.

What is Shadd Cunningham's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shadd Cunningham was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.