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

Shannon Marie Waters

Individual provider Professional Counselor · NPI 1831739796

Shannon Marie Waters is a Mental Health Counselor in Eugene, Oregon. Qualified in 2019, 7 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2020
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Practice location Address checks out

2440 Willamette St Ste 201
Eugene, OR 97405-3170
Phone: (541) 321-2278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 223 Commercial St Ne Ste 205, Salem, OR 97301-4078 — (503) 966-2722

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C6686 (OR)

Record details

NPI number1831739796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 8, 2020
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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