Individual provider Active NPI

Shayla Krecklow, LPCC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1770018285
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1800882 Issued in OH
Practice address
6510 SE Foster Rd., Suite D
Portland, OR 97206-4686
Phone
(503) 882-0884
Fax
(503) 882-0887
NPI assigned
Apr 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1800882 OH Primary
Mental Health Counselor 101YM0800X C9888 OR
Mental Health Counselor 101YM0800X C1500660 OH

Addresses

Primary practice location

6510 SE Foster Rd., Suite D
Portland, OR 97206-4686

Mailing address

6510 SE Foster Rd., Suite D
Portland, OR 97206-4686
Phone (503) 882-0884

Other practice location 1

261 W Johnstown Rd Ste 107
Gahanna, OH 43230-2887
Phone (614) 383-9939

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

LicenseStateTypeSpecialty
C1500660OHMDMental Health Counselor
E.1800882OHMDMental Health Counselor
C9888ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning the Page Counseling LLC Mental Health Current Accepting new patients

Locations

6510 SE Foster Rd
Apt D
Portland, OR 97206
Phone (503) 882-0884

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1770018285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 SE FOSTER RD., SUITE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064686",
            "telephone_number": "503-882-0884",
            "fax_number": "503-882-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 SE FOSTER RD., SUITE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064686",
            "telephone_number": "503-882-0884",
            "fax_number": "503-882-0887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 W Johnstown Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432302887",
            "country_code": "US",
            "telephone_number": "614-383-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRECKLOW",
        "first_name": "SHAYLA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-23",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1800882",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9888",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1500660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.