Individual provider Active NPI

Shelby Layne Houston, MC, MPH, NCC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1184124653
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R10113 Issued in OR
Practice address
5807 NE Everett St
Portland, OR 97213-3821
Phone
(541) 961-1102
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R10113 OR Primary

Addresses

Primary practice location

5807 NE Everett St
Portland, OR 97213-3821

Mailing address

5807 NE Everett St
Portland, OR 97213-3821
Phone (541) 961-1102

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
R10113ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Kettermann, LLC Mental Health CurrentSince Feb 23, 2025 Accepting new patients
Options Counseling Services of Oregon Mental Health PastSince Mar 1, 2023 Accepting new patients

Locations

2950 SE Stark St
Ste 130
Portland, OR 97214
Phone (971) 270-0167

Organizations & group practices 2

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1184124653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 NE EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133821",
            "telephone_number": "541-961-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 NE EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133821",
            "telephone_number": "541-961-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "SHELBY",
        "middle_name": "LAYNE",
        "credential": "MC, MPH, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R10113",
            "primary": true
        }
    ],
    "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 Jan 13, 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.