Shasta Hickman-Suppes, LMHC

NPI 1245885250 · on the registry since 2019

Practice

Address: 1400 Broadway St Ne Ste 206
Salem, OR 97301
Phone: (971) 303-9868
Organisation at this address: Salem For Refugees
Shasta Hickman Counseling And Coaching Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101YM0800X
101YM0800X
Licence states on file: WA, OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon