Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Shannon Marie Waters

Counselor - Professional β€’ Eugene, OR

Active NPI 1831739796 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

2440 Willamette St Ste 201
Eugene, OR 974053170

Call 5413212278 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

2440 Willamette St Ste 201

Eugene, OR 974053170

Telephone 5413212278
Organization at the Same NPPES Address or Phone
Arise Counseling Service, Llc. Dba Northlight Counseling Facility NPI 1447715834

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 Salem, 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.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2020

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shannon Waters 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 Waters 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 Eugene and Oregon

235 active clinicians are listed under Counselor - Professional with a practice address in Eugene, OR (2,632 in Oregon).

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

Telehealth indicator in Eugene

4.3% of these 235 clinicians have the CMS telehealth indicator.

25.5% of these 235 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2024-01-25
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C6686
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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500775892 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240130000098

Enrollment State Jurisdiction

OR

PECOS Control ID

4486007150

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

223 Commercial St Ne Ste 205

Salem, OR 973014078

Phone: 5039662722

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Elisabeth Goldenberg , MSW, QMHP

Social Worker - Clinical

NPI 1801924253

Master of Social Work, Qualified Mental Health Professional

Career & Practice History Timeline

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

15 Historical Events
πŸ“
Updated Business Mailing Address January 25, 2024

Registered at 223 COMMERCIAL ST NE STE 205, SALEM, OR 973014078 (Tel: 5039662722)

🏒
Secondary Practice Location Registered January 25, 2024

Additional practice office at 223 Commercial St NE Ste 205, Salem, OR 973014078

πŸ‘€
Provider Name / Credentials Updated January 25, 2024

Recorded as SHANNON WATERS

πŸ“
Updated Practice Location August 30, 2022

Registered at 2440 WILLAMETTE ST STE 201, EUGENE, OR 974053170 (Tel: 5413212278)

πŸ‘€
Provider Name / Credentials Updated August 30, 2022

Recorded as SHANNON WATERS, C6686

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2022

Counselor (license number reported to NPPES: OR C6686)

πŸ“
Updated Practice Location October 19, 2020

Registered at 1275 NW ADAMS ST STE C, MCMINNVILLE, OR 971283549 (Tel: 5039662722)

πŸ“
Updated Business Mailing Address October 19, 2020

Registered at 2555 PACIFIC BLVD, ALBANY, OR 973211841 (Tel: 5413212278)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Counselor (license number reported to NPPES: OR R6148)

βœ…
NPI Profile Active January 08, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 08, 2020

Registered at 665 COTTAGE ST NE, SALEM, OR 973012419 (Tel: 5039662722)

πŸ“
Business Mailing Address (Initial Record) January 08, 2020

Registered at 1380 SUNTREE DR SE, SALEM, OR 973021841 (Tel: 5039571519)

πŸ‘€
Provider Name / Credentials (Initial Record) January 08, 2020

Recorded as SHANNON WATERS, R6148

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2020

Counselor (license number reported to NPPES: OR R6148)

🟒
Initial NPI Registration & Enumeration January 08, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1831739796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2020
Last Update: January 25, 2024
Sole Proprietor: Yes

Mailing Address

223 Commercial St Ne Ste 205

Salem, OR 973014078

Phone: 5039662722

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.