Individual provider Active NPI

Wendy Carol Mailho.Sheilds, MS, AT, CADC3

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1063642759
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1818 SE Division St
Portland, OR 97202-1159
Phone
(503) 258-4327
Fax
(503) 258-4682
NPI assigned
Jul 16, 2009
Last updated
Sep 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OR
Addiction (Substance Use Disorder) Counselor 101YA0400X OR
Mental Health Counselor 101YM0800X OR Primary
Professional Counselor 101YP2500X OR

Addresses

Primary practice location

1818 SE Division St
Portland, OR 97202-1159

Mailing address

1818 SE Division St
Portland, OR 97202-1159
Phone (503) 258-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1063642759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021159",
            "telephone_number": "503-258-4327",
            "fax_number": "503-258-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021159",
            "telephone_number": "503-258-4327",
            "fax_number": "503-258-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILHO.SHEILDS",
        "first_name": "WENDY",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MS, AT, CADC3",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.