MRS. CLARISSA JANE SHEPHERD MA
NPI 1700156742
Counselor - Mental Health in Keizer, OR

Q: What is Clarissa Shepherd's NPI number?

The NPI number for Clarissa Shepherd is 1700156742. It was assigned to this individual provider in the NPPES registry on January 6, 2012.

Q: What is Clarissa Shepherd'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 Clarissa Shepherd was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 January 06, 2012

4720 RIVER RD N, KEIZER, OR 97303(503) 580-1024 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Clarissa Jane Shepherd Ma NPPES

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

MRS. CLARISSA JANE SHEPHERD MA (NPI 1700156742) is an individual mental health provider in Keizer, Oregon, licensed in Oregon (C1781) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1700156742

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. CLARISSA JANE SHEPHERDCredential: MA

Location Address4720 RIVER RD NKeizer, OR 97303-4536

Mailing Address4720 River Rd NKeizer, OR 97303-4536 · (503) 580-1024

Phone(503) 580-1024

Sole ProprietorYes

Enumeration DateJanuary 6, 2012

✔ NPI 1700156742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · C1781

Also ListedCounselor · PastoralTaxonomy 101YP1600X · License C1781 (OR)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C1781 (OR)

4720 RIVER RD N, Keizer, OR 97303

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Other Providers at the Same Location NPPES 2

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

BIRCH GROVE COUNSELING LLC

Social Worker (Clinical)

4720 RIVER RD N
KEIZER, OR 97303

Marion County (907) 388-4689

MR. ROBERT EVEN GITELSON MSW, LCSW

Counselor (Mental Health)

4720 RIVER RD N
KEIZER, OR 97303

Marion County (503) 390-4352

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 Clarissa Shepherd's NPI number?

The NPI number for Clarissa Shepherd is 1700156742. It was assigned to this individual provider in the NPPES registry on January 6, 2012.

Where is Clarissa Shepherd located?

Clarissa Shepherd practices at 4720 River Rd N, Keizer, OR 97303. The listed phone number is (503) 580-1024.

What is Clarissa Shepherd's specialty?

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

When was this NPI record last updated?

The NPPES record for Clarissa Shepherd was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.