Individual provider Active NPI

Megan Kimberley Pena, MA, MSW

  • Mental Health Counselor
  • Saint Helens, OR
National Provider Identifier
1184076176
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
58646 McNulty Way
Saint Helens, OR 97051-6210
Phone
(503) 397-5211
NPI assigned
Jul 1, 2016
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21-02-20017 OR
Mental Health Counselor 101YM0800X OR Primary

Addresses

Primary practice location

58646 McNulty Way
Saint Helens, OR 97051-6210

Mailing address

58089 Old Portland Rd
Warren, OR 97053-9416
Phone (503) 875-1117

Other identifiers 1

IdentifierTypeStateIssuer
123190MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220003522 OR Practitioner - Clinical Social Worker 5698256352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

58646 McNulty Way
Saint Helens, OR 97051-6210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Community Mental Health Addiction (Substance Use Disorder) CurrentSince Feb 4, 2026 Accepting new patients
Columbia Community Mental Health PastSince May 19, 2024 Accepting new patients
Columbia Community Mental Health PastSince May 19, 2024 Accepting new patients

Locations

105 S 3rd St
Saint Helens, OR 97051
Phone (503) 397-6900

58646 McNulty Way
Saint Helens, OR 97051
Phone (503) 397-0391

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1184076176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58089 OLD PORTLAND RD",
            "city": "WARREN",
            "state": "OR",
            "postal_code": "970539416",
            "telephone_number": "503-875-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58646 MCNULTY WAY",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516210",
            "telephone_number": "503-397-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "MEGAN",
        "middle_name": "KIMBERLEY",
        "name_prefix": "Mrs.",
        "credential": "MA, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "21-02-20017",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123190",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

Verify at the official NPI Registry.