Active NPI
Charlene Michelle Negus Shemley, LPC, CADC II
- Professional Counselor
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4025
- Practice address
- 9450 SW Barnes Rd Ste 200
Portland, OR 97225-6638 - Phone
- (503) 216-3511
- Fax
- (503) 216-5529
- NPI assigned
- Sep 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12-12-79U | OR | |
| Professional Counselor | 101YP2500X | C4025 | OR | Primary |
Addresses
Primary practice location
9450 SW Barnes Rd Ste 200
Portland, OR 97225-6638
Mailing address
9450 SW Barnes Rd Ste 200
Portland, OR 97225-6638
Phone (503) 216-3511
Other names 1
- Charlene Michelle Negus
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
9155 SW Barnes Rd
Ste 409
Portland, OR 97225
Phone (503) 216-1234
5228 NE Hoyt St
Bldg B
Portland, OR 97213
Phone (503) 215-4860
9450 SW Barnes Rd
Ste 200
Portland, OR 97225
Phone (503) 216-2025
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Medical Oncology Physician
- Portland, OR
- NPI 1295171767
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1669705018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 SW BARNES RD STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256638",
"telephone_number": "503-216-3511",
"fax_number": "503-216-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 SW BARNES RD STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256638",
"telephone_number": "503-216-3511",
"fax_number": "503-216-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGUS SHEMLEY",
"first_name": "CHARLENE",
"middle_name": "MICHELLE",
"credential": "LPC, CADC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "12-12-79U",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLENE",
"last_name": "NEGUS",
"middle_name": "MICHELLE",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.