Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shasta Hickman-Suppes, LMHC

Individual provider Mental Health Counselor · NPI 1245885250

Shasta Hickman-Suppes, LMHC is a Mental Health Counselor in Salem, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2019.

Licensed in
OR, WA
In the registry since
2019
Specialties on file
3
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

1400 Broadway St NE Ste 206
Salem, OR 97301-0504
Phone: (971) 303-9868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C6107 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence LH61102916 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence MC60943341 (WA)

Record details

NPI number1245885250
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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