MRS. SHANNON IVY CUFFARO MA
NPI 1639713175
Counselor in Clackamas, OR

Q: What is Shannon Cuffaro's NPI number?

The NPI number for Shannon Cuffaro is 1639713175. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Q: What is Shannon Cuffaro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Cuffaro was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 28, 2019PECOS Enrolled

12901 SE 97TH AVE STE 340, CLACKAMAS, OR 97015(503) 655-8045 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2023, Oct 28, 2019 (2 updates tracked since 2019).

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About Mrs. Shannon Ivy Cuffaro Ma NPPES

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

MRS. SHANNON IVY CUFFARO MA (NPI 1639713175) is an individual counselor in Clackamas, Oregon and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1639713175

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. SHANNON IVY CUFFAROCredential: MA

Location Address12901 SE 97TH AVE STE 340Clackamas, OR 97015-7903

Mailing Address360 E 10th Ave Ste 450Eugene, OR 97401-5599 · (541) 687-6983 · Fax (541) 684-7638

Phone(503) 655-8045

Sole ProprietorNo

Enumeration DateOctober 28, 2019

Last NPPES UpdateJune 16, 20232 updates tracked since enumeration

NPPES CertifiedJune 16, 2023

✔ NPI 1639713175 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.

12901 SE 97TH AVE STE 340, Clackamas, OR 97015

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Secondary Practice Location 1

Location 114600 NW Cornell RdPortland, OR 97229-5442 · Phone (503) 645-3581

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon Ivy Cuffaro Ma 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.

KACEY ALLISON BERBERICH

Counselor (Mental Health)