Individual provider Active NPI

Angela Shy, LPC, LMHC

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1215695150
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9855 Issued in OR
Practice address
1500 NW Bethany Blvd Ste 310
Beaverton, OR 97006-5238
Phone
(503) 626-9494
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61587145 WA
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X C9855 OR Primary

Addresses

Primary practice location

1500 NW Bethany Blvd Ste 310
Beaverton, OR 97006-5238

Mailing address

1500 NW Bethany Blvd Ste 310
Beaverton, OR 97006-5238
Phone (541) 209-0283

Other practice location 1

6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
Phone (360) 993-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250211001984 WA Practitioner - Mental Health Counselor 1557891264 Reassigns benefits to 1 organization
I20251006000585 OR Practitioner - Mental Health Counselor 1557891264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1500 NW Bethany Blvd
Suite 320
Beaverton, OR 97006-5238
Phone (503) 567-3260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia River Mental Health Services CurrentSince Nov 15, 2024 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Aug 21, 2025 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Aug 21, 2025 Accepting new patients

Locations

1500 NW Bethany Blvd
Ste 320
Beaverton, OR 97006
Phone (503) 567-3260

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

6926 NE Fourth Plain Blvd
Vancouver, WA 98661
Phone (360) 695-3416

Organizations & group practices 3

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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1215695150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 310",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065238",
            "telephone_number": "541-209-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 310",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065238",
            "telephone_number": "503-626-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6926 NE Fourth Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986617254",
            "country_code": "US",
            "telephone_number": "360-993-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHY",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61587145",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.