Sheila M Blackburn
Individual provider Active NPI Mental Health Counselor · The Dalles, OR
NPI 1043711997 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1043711997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3601 W 10TH St
The Dalles, OR 97058-4377 - Phone
- (503) 234-9591
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbiacare Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3601 W 10TH St
The Dalles, OR 97058-4377
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
Other providers in The Dalles, OR
- James Jeffers Bickler
- Allyson Elizabeth Billings Wickerham
- Kara Billings
- Kimberly Birk-Fitzjarrald
- Ashley Alberta Bishop
- Gretchen E Blair
- Stacey Blair
- Collin Matthew Blattner
- Bobbi'S Way in-Home Health Care LLC
- Tim P Bondarenko
All providers in The Dalles, 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 May 12, 2023. 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.