Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn M Shaffer, LPC

Individual provider Professional Counselor · NPI 1073243085

Kathryn M Shaffer, LPC is a Mental Health Counselor in Bentonville, Arkansas. Qualified in 2022, 4 years ago. Practices with Ozark Guidance Center, Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Licensed in
AR
In the registry since
2022
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1202 NE McClain Rd Bldg 7
Bentonville, AR 72712-3875
Phone: (479) 545-1545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P2409007 (AR)
Mental Health Counselor Taxonomy 101YM0800X · Licence A2208014 (AR)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1073243085
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address9274 Commonwealth Rd, Bentonville, AR 72712-8892

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ozark Guidance Center, Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bentonville