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Shaye Dickenson

Counselor β€’ Pendleton, OR

Active NPI 1700057205 Individual Practitioner Female Practitioner
Practice location in NPPES

17 Sw Frazer Ave Ste 282
Pendleton, OR 978010048

Call 5412786330 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

17 Sw Frazer Ave Ste 282

Pendleton, OR 978010048

Telephone 5412786330
Fax 5412785419
Organization at the Same NPPES Address or Phone
Umatilla County Alcohol & Drug Program Facility NPI 1629127584

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

NPI first issued

2008

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

Compared with the same specialty in Pendleton and Oregon

89 active clinicians are listed under Counselor with a practice address in Pendleton, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pendleton

1.1% of these 89 clinicians have the CMS telehealth indicator.

1.1% of these 89 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

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

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 March 13, 2019

Registered at 17 SW FRAZER AVE STE 282, PENDLETON, OR 978010048 (Tel: 5412786330)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2019

Counselor

βœ…
NPI Profile Active March 12, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 12, 2008

Registered at 1100 K AVE, LA GRANDE, OR 978502131 (Tel: 5419628800)

πŸ“
Business Mailing Address (Initial Record) March 12, 2008

Registered at 1100 K AVE, LA GRANDE, OR 978502131 (Tel: 5419628800)

πŸ‘€
Provider Name / Credentials (Initial Record) March 12, 2008

Recorded as SHAYE DICKENSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2008

Counselor

🟒
Initial NPI Registration & Enumeration March 12, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700057205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2008
Last Update: March 13, 2019
Sole Proprietor: No

Mailing Address

1100 K Ave

La Grande, OR 978502131

Phone: 5419628800

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.