Active NPI
Shawla Scott Barker
- Professional Counselor
- Portland, OR
National Provider Identifier
1467852624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5087
- Practice address
- 3036 NE Martin Luther King Jr Blvd
Portland, OR 97212-3053 - Phone
- (503) 283-3763
- NPI assigned
- Aug 25, 2014
- Last updated
- Dec 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C5087 | OR | Primary |
Addresses
Primary practice location
3036 NE Martin Luther King Jr Blvd
Portland, OR 97212-3053
Mailing address
2415 SE 43Rd Ave Ste 200
Portland, OR 97206-1671
Other practice location 1
2415 SE 43rd Ave
Suite 200
Portland, OR 97206-1600
Phone (503) 230-9654
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
| License | State | Type | Specialty |
|---|---|---|---|
| C5087 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascadia Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Cascadia Behavioral Healthcare, Inc.
- Primary Care Clinic/Center
- Portland, OR
- NPI 1144722935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544313600000",
"number": "1467852624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 SE 43RD AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972061671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3036 NE MARTIN LUTHER KING JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123053",
"telephone_number": "503-283-3763"
}
],
"practiceLocations": [
{
"address_1": "2415 SE 43rd Ave",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972061600",
"country_code": "US",
"telephone_number": "503-230-9654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT BARKER",
"first_name": "SHAWLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2018-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Jeffrey Scooler
- Scooters America LLC (American Seating & Mobility)
- Scooters America LLC (American Seating & Mobility)
- Frank Scopacasa, VRC
- Suzanne A. Scopes, N.D.
- Scott J Wojciechowski OD (Moreland Vision Center)
- Scott L. Barry, DMD, PC (Advanced Endodontics)
- Meika Scott-Brown, OTA/LP
- Tasha Nicole Scott-Voiss, MA, CADC-R
- Alexandra Morgan Scott, APRN, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.