SHANNON MARIE WATERS
NPI 1831739796
Counselor - Professional in Eugene, OR

Active since January 08, 2020PECOS EnrolledAccepts Medicare Assignment
2440 WILLAMETTE ST STE 201, EUGENE, OR 97405(541) 321-2278 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, Aug 30, 2022, Oct 19, 2020 and 1 more (4 updates tracked since 2020).

About Shannon Marie Waters NPPES

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

SHANNON MARIE WATERS (NPI 1831739796) is an individual professional provider in Eugene, Oregon, licensed in Oregon (C6686) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salem, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831739796
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON MARIE WATERS
Location Address2440 WILLAMETTE ST STE 201Eugene, OR 97405-3170
Mailing Address223 Commercial St Ne Ste 205Salem, OR 97301-4078 · (503) 966-2722
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2020
Last NPPES UpdateJanuary 25, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
NPI 1831739796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C6686
2440 WILLAMETTE ST STE 201, Eugene, OR 97405

Secondary Practice Location 1

Location 1223 Commercial St NE Ste 205Salem, OR 97301-4078 · Phone (503) 966-2722

Other Identifiers 1

Medicaid500775892OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Marie Waters is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486007150
PECOS Enrollment IDI20240130000098
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 13

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

Marriage & Family Therapist
2440 WILLAMETTE ST STE 201
EUGENE, OR 97405
Social Worker (Clinical)
2440 WILLAMETTE ST STE 201
EUGENE, OR 97405
Counselor (Professional)
2440 WILLAMETTE ST STE 201
EUGENE, OR 97405
Social Worker (Clinical)
2440 WILLAMETTE ST STE 201
EUGENE, OR 97405
Counselor
2440 WILLAMETTE ST STE 201
EUGENE, OR 97405
Counselor (Mental Health)
2440 WILLAMETTE ST STE 201
EUGENE, OR 97405
Psychologist
2440 WILLAMETTE ST STE 201
EUGENE, OR 97405
Counselor (Professional)
2440 WILLAMETTE ST STE 201
EUGENE, OR 97405

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 Shannon Waters's NPI number?

The NPI number for Shannon Waters is 1831739796. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Shannon Waters located?

Shannon Waters practices at 2440 Willamette St Ste 201, Eugene, OR 97405. The listed phone number is (541) 321-2278.

What is Shannon Waters's specialty?

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

Is Shannon Waters enrolled in Medicare?

Yes. Shannon Waters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Waters accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shannon Waters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Waters was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.