Shaun Pope, LPC, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4747 Issued in OR

Practice address

5273 NE 31St Ave
Portland, OR 97211-6911

Phone

(520) 256-5352

NPI assigned

Jan 3, 2015

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.shaunpope@148835.advancedmd-direct.com

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.

• Western Psychological and Counseling Services LLC

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1912008178

  Counselor, OR

  Medicare reassignment NPD
• Meridian Psychotherapy, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1437009651
  NPD Authorized official
• Western Psychological and Counseling Services LLC

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1629345731

  Counselor

  NPD

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1417345109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 NE HALSEY ST STE 335",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5273 NE 31ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116911",
            "telephone_number": "520-256-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7507 NE 51st St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626007",
            "country_code": "US",
            "telephone_number": "503-922-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPE",
        "first_name": "SHAUN",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-03",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60756275",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Ellen Pope
• Lindsey Pope, L.AC
• Madeleine Pope, LAC
• Mary Wells Pope, M.A., LPC
• Richard Pope, LAC, LMT
• Lisa Christine Popelka, M.S., LPC
• Benjamin Popescu, PA
• Ryan Popkin, M.A., LMFT
• Yale Sands Popowich, M.D.
• Lauren Alise Popp, FNP

• 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 Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.