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Shannon Ivy Cuffaro , MA

Counselor β€’ Clackamas, OR

Active NPI 1639713175 Individual Practitioner Female Practitioner
Practice location in NPPES

12901 Se 97th Ave Ste 340
Clackamas, OR 970157903

Call 5036558045 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12901 Se 97th Ave Ste 340

Clackamas, OR 970157903

Telephone 5036558045
Organization at the Same NPPES Address or Phone
Options Counseling Services Of Oregon Facility NPI 1548275217

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shannon Cuffaro has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shannon Cuffaro as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clackamas and Oregon

22 active clinicians are listed under Counselor with a practice address in Clackamas, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clackamas

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-16
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MARRIAGE AND FAMILY THERAPIST

Medicare Enrollment ID

I20240828000399

Enrollment State Jurisdiction

OR

PECOS Control ID

1254870892

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

14600 Nw Cornell Rd

Portland, OR 972295442

Phone: 5036453581

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 16, 2023

Registered at 12901 SE 97TH AVE STE 340, CLACKAMAS, OR 970157903 (Tel: 5036558045)

πŸ“
Updated Business Mailing Address June 16, 2023

Registered at 360 E 10TH AVE STE 450, EUGENE, OR 974015599 (Tel: 5416876983)

βœ…
NPI Profile Active October 28, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 28, 2019

Registered at 14600 NW CORNELL RD, PORTLAND, OR 972295442 (Tel: 5036453581)

πŸ“
Business Mailing Address (Initial Record) October 28, 2019

Registered at 14600 NW CORNELL RD, PORTLAND, OR 972295442 (Tel: 5036453581)

πŸ‘€
Provider Name / Credentials (Initial Record) October 28, 2019

Recorded as SHANNON CUFFARO, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2019

Counselor

🟒
Initial NPI Registration & Enumeration October 28, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639713175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2019
Last Update: June 16, 2023
Sole Proprietor: No

Mailing Address

360 E 10th Ave Ste 450

Eugene, OR 974015599

Phone: 5416876983

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.