SALLY SHAFFER (LPC) – Professional Counselor, NPI 1932872264

SALLY SHAFFER (LPC) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. PC013321 (PA). The NPI Number for SALLY SHAFFER (LPC) is 1932872264

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
SALLY SHAFFER (LPC)
NPI
1932872264
Phone
(814) 266-8840
Address
865 EISENHOWER BLVD
Enumeration Date
2 August 2021
Last Update Date
2 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8142668840
Graduation Year
2018 (8 years ago)
PAC ID
8628415700
Group Practice PAC ID
9537333604
Professional Enrollment ID
I20240325003087
Address ID
PA159043318JO865XXBLVD300

Contacts

Other Endpoint
Medent
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

2,581 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for SALLY SHAFFER (LPC)

  • 865 EISENHOWER BLVD

    JOHNSTOWN, PA 159043318

    Phone: (814) 266-8840

    Fax: (814) 266-4922

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240325003087IMental Health CounselorPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537333604View full group profile
NameSpecialtyState
Pediatric MedicinePA
Clinical PsychologistPA
Clinical Social WorkerPA
Mental Health CounselorPA
-PA
-PA
Clinical PsychologistPA

Reviews

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Frequently asked questions

Can I verify SALLY SHAFFER (LPC) with an NPI only?
You can start verification with NPI 1932872264 for SALLY SHAFFER (LPC), then check state licensing separately.
Does CMS list SALLY SHAFFER (LPC) as active?
Yes — SALLY SHAFFER (LPC) is active in the NPI listing used on this page.
What is SALLY SHAFFER (LPC)'s primary classification?
Professional Counselor is the headline specialty for SALLY SHAFFER (LPC) here. Clinical services aligned with this taxonomy classification.
What address line appears for SALLY SHAFFER (LPC)?
SALLY SHAFFER (LPC)'s geographic hint is Johnstown, Pennsylvania in our summary view.
Is the information about SALLY SHAFFER (LPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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