Individual provider Active NPI

Vanessa A Scholfield, MSW, QMHP

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1487012936
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
14355 SW Allen Blvd Ste 150
Beaverton, OR 97005-4741
Phone
(503) 828-3402
Fax
(503) 828-3401
NPI assigned
Jan 28, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 Primary

Addresses

Primary practice location

14355 SW Allen Blvd Ste 150
Beaverton, OR 97005-4741

Mailing address

14355 SW Allen Blvd Ste 150
Beaverton, OR 97005-4741
Phone (503) 828-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20201221000660 CA Practitioner - Clinical Social Worker 3779995568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redding RancheriaGroup PAC ID 7810969847, 32 clinicians

Practice addresses (Care Compare)

1441 Liberty St
Redding, CA 96001-0811
Phone 53022427001740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97976CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Rancheria Current Accepting new patients
Redding Rancheria CurrentSince Oct 23, 2020 Accepting new patients
Redding Rancheria CurrentSince Oct 23, 2020 Accepting new patients
Wolf Pack Consulting and Therapeutic Services LLC Mental Health PastSince Jul 24, 2022 Accepting new patients

Locations

1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487012936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD STE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054741",
            "telephone_number": "503-828-3402",
            "fax_number": "503-828-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD STE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054741",
            "telephone_number": "503-828-3402",
            "fax_number": "503-828-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLFIELD",
        "first_name": "VANESSA",
        "middle_name": "A",
        "credential": "MSW, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.