Katelyn Russell-Atchley, QMHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

182 SW Academy St
Dallas, OR 97338-1922

Phone

(503) 623-9289

NPI assigned

Sep 29, 2022

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: katelyn.russell-atchley@shangrila-or.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Shangri-la Corporation

  dba Shangri-La Corporation

  • Community/Behavioral Health Agency
  • Eugene, OR
  • NPI 1053858993
  NPD (past)
• The Shangri-la Corporation

  dba Shangri-La Corporation

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1578000758
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1053035378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SE HAWTHORNE AVE",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381718",
            "telephone_number": "713-269-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381922",
            "telephone_number": "503-623-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL-ATCHLEY",
        "first_name": "KATELYN",
        "credential": "QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mellet R Romero, PT
• Hannah Rose, LCSW
• Michael Rose
• Destree Lynn Rudolph, MS, CRC
• Petra Alice Runckel, PHARMD
• Karen Scott Rutherford, C.A.D.C. II
• Ronald Richard Ryden, LCSW
• Safeway Inc (Safeway Pharmacy #4404)
• Sage Springs Dental LLC
• Salem Health (Salem Health Medical Clinic - Uglow)

• Mental Health Counselor in Dallas, OR
• Providers in Dallas, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.