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Shane Harold Bonella , M COUN, LPC

Counselor - Professional β€’ Grants Pass, OR

Active NPI 1255640835 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1215 Sw G St
Grants Pass, OR 975262544

Call 5414762373 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1215 Sw G St

Grants Pass, OR 975262544

Telephone 5414762373
Fax 5419557444
Organization at the Same NPPES Address or Phone
Options For Southern Oregon Facility NPI 1558366492

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Options For Southern Oregon. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2008

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shane Bonella has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shane Bonella as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Grants Pass and Oregon

50 active clinicians are listed under Counselor - Professional with a practice address in Grants Pass, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grants Pass

8% of these 50 clinicians have the CMS telehealth indicator.

30% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C2795
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OTHER (NON-PHYSICIAN)

Medicare Enrollment ID

I20240115001348

Enrollment State Jurisdiction

OR

PECOS Control ID

5991157067

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Options For Southern Oregon

1545 Harbeck Rd, Grants Pass, OR 975275605

Phone: 5414762373

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Rochelle Bullock , LCSW

Social Worker - Clinical

NPI 1396032991

Licensed Clinical Social Worker

Julia Gasparac , LCSW

Social Worker - Clinical

NPI 1740717388

Licensed Clinical Social Worker

Dr. Bartie Mclaren , PhD

Psychologist - Clinical

NPI 1851600167

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 07, 2024

Registered at 1215 SW G ST, GRANTS PASS, OR 975262544 (Tel: 5414762373)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2024

Counselor (license number reported to NPPES: OR C2795)

βœ…
NPI Profile Active March 11, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 11, 2015

Registered at 1545 HARBECK RD, GRANTS PASS, OR 975275605 (Tel: 5414762373)

πŸ“
Business Mailing Address (Initial Record) March 11, 2015

Registered at 1545 HARBECK RD, GRANTS PASS, OR 975275605 (Tel: 5414762373)

πŸ‘€
Provider Name / Credentials (Initial Record) March 11, 2015

Recorded as SHANE BONELLA, M. COUN., LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2015

Counselor (license number reported to NPPES: OR C2795)

🟒
Initial NPI Registration & Enumeration September 30, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255640835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2010
Last Update: February 07, 2024
Sole Proprietor: No

Mailing Address

1545 Harbeck Rd

Grants Pass, OR 975275605

Phone: 5414762373

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.