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BEVERLY SHOOPMAN MS/MA MAC
NPI 1568665669
Counselor - Professional in Medford, OR

Active since June 06, 2007
140 S HOLLY ST, MEDFORD, OR 97501(541) 774-8200 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2026, Nov 14, 2023, Jul 13, 2023 and 1 more (4 updates tracked since 2022).

About Beverly Shoopman Ms/ma Mac NPPES

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

BEVERLY SHOOPMAN MS/MA MAC (NPI 1568665669) is an individual professional provider in Medford, Oregon, licensed in Oregon (C4158) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1568665669
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBEVERLY SHOOPMANCredential: MS/MA MAC
Location Address140 S HOLLY STMedford, OR 97501-3113
Mailing Address140 S Holly StMedford, OR 97501-3113 · (541) 774-8200
Phone(541) 774-8200
Sole ProprietorNo
Enumeration DateJune 6, 2007
Last NPPES UpdateJanuary 2, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1568665669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C4158
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12-06-102U3 (OR)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 3921 (CA)
140 S HOLLY ST, Medford, OR 97501
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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.

JENNIFER HARPER
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7862
AMBER JENSEN
Counselor (Mental Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8200
MAUREEN MARTIN
Counselor (Mental Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7902
MARIE POPPA
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7900
KATHLEEN MARIE CONNAIR-RAU PEER SUPPORT SPEC
Peer Specialist
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 841-0484
ANTHONY KAHALY MSW, MPH
Counselor (Mental Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8201
ALAINNA TOMLINSON
Peer Specialist
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8200
SHELBY S KUYKENDALL CRM
Peer Specialist
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8200

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 Beverly Shoopman's NPI number?

The NPI number for Beverly Shoopman is 1568665669. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Beverly Shoopman located?

Beverly Shoopman practices at 140 S Holly St, Medford, OR 97501. The listed phone number is (541) 774-8200.

What is Beverly Shoopman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Beverly Shoopman was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.