Individual provider Active NPI

Shawna Marie Jamison, THW

  • Peer Specialist
  • Redmond, OR
National Provider Identifier
1073484176
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
114874 Issued in OR
Practice address
2326 SW Glacier PL
Redmond, OR 97756-7626
Phone
(541) 516-0669
Fax
(541) 316-8959
NPI assigned
Sep 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 114874 OR Primary

Addresses

Primary practice location

2326 SW Glacier PL
Redmond, OR 97756-7626

Mailing address

2326 SW Glacier PL
Redmond, OR 97756-7626
Phone (541) 516-0669

Other identifiers 1

IdentifierTypeStateIssuer
114874OtherORTHW

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

State licenses

LicenseStateTypeSpecialty
114874ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Integrative Counseling Services LLC Peer Specialist CurrentSince Sep 14, 2025 Accepting new patients

Locations

2326 SW Glacier Pl
Redmond, OR 97756
Phone (503) 949-4119

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1073484176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 SW GLACIER PL",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977567626",
            "telephone_number": "541-516-0669",
            "fax_number": "541-316-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 SW GLACIER PL",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977567626",
            "telephone_number": "541-516-0669",
            "fax_number": "541-316-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "THW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "114874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THW",
            "identifier": "114874",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; 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.