Karen Sheelar

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

801 Pacific Ave
Tillamook, OR 97141

Phone

(503) 842-3900

Fax

(503) 842-3903

NPI assigned

Aug 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Waterfall Clinic, Incorporated

  • Federally Qualified Health Center (FQHC)
  • North Bend, OR
  • NPI 1447889480

  Corporate Officer

  CMS ownership
• Waterfall Clinic, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Coos Bay, OR
  • NPI 1508133299

  Corporate Officer

  CMS ownership
• Waterfall Clinic, Incorporated

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
  • NPI 1619673704

  Corporate Officer

  CMS ownership

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.

• Waterfall Clinic Incorporated

  • Federally Qualified Health Center (FQHC)
  • North Bend, OR
  • NPI 1619915113

  OR

  Medicare reassignment NPD
• Waterfall Clinic, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Coos Bay, OR
  • NPI 1508133299
  NPD
• Waterfall Clinic, Incorporated

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
  • NPI 1619673704
  NPD

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1467979609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971410489",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PACIFIC AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "97141",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Hamrick Rd",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975023072",
            "country_code": "US",
            "telephone_number": "541-690-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEELAR",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500739707",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Scott
• Kathkleen Ann Scully, MS
• Brian Gregory Seaholm, DMD
• Jessica L Shackelton, MSW
• Michael T Shaffer
• Kathy J Sias
• Joy Anna Sigurdson, DMD
• John Andrew Smialek
• Kaylan Rose Smith, LPC
• Mark S Smith, M.D.

• Mental Health Counselor in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.