Shelia Clark
Individual provider Active NPI Mental Health Counselor · Prineville, OR
NPI 1003372269 · NPPES record last updated Apr 19, 2021
Key facts
- NPI
- 1003372269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1103 NE Elm St
Prineville, OR 97754-1664 - Phone
- (541) 323-5330
- Fax
- (541) 447-1121
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1103 NE Elm St
Prineville, OR 97754-1664
Mailing address
1103 NE Elm St
Prineville, OR 97754-1664
Phone (541) 233-3203
Other names
- Shelia Clemens
Other providers in Prineville, OR
- Christiansen, LLC
- Mindy Lynn Christiansen
- Anne Clark
- James Richard Clark
- Karianne Clark
- Delpha Coffman III
- Jennifer Lee Coffman
- Alyssa Joann Colby
- Shyla Colovos
- Linda Joyce Cook
All providers in Prineville, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.