Melissa S Shivell-Hernandez, CADCII, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

00093194 Issued in IL

Practice address

2600 SE Belmont St
Portland, OR 97214-2916

Phone

(503) 239-5738

Fax

(503) 239-8429

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083831143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 NE 49TH ST",
            "address_2": "MM101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826144",
            "telephone_number": "503-957-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142916",
            "telephone_number": "503-239-5738",
            "fax_number": "503-239-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVELL-HERNANDEZ",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "CADCII, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "01R15",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "00093194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Kam Shiroma II
• Avan Shirwani, DO
• Brittney Ashley Shiue
• Michele Shivack, PT,ATC
• Winnie Gayalwa Shivega, MD
• Anna Shkurinsky, RN
• Darya Artyomovna Shleyeva
• Andrew Shlimun
• Eran Shlomovitz, M.D.
• Chloe Ann Shmays, OTR/L

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.