Rachel Nicole Shultz, QMHA 2, CADC 2

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

23-QMHA-LL-000151 Issued in OR

Practice address

820 SW Church St Ste 100
Dallas, OR 97338-3146

Phone

(503) 623-5226

Fax

(503) 623-5326

NPI assigned

Feb 1, 2021

Last updated

Feb 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1952992943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW ELLIS ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382438",
            "telephone_number": "503-623-5226",
            "fax_number": "503-623-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SW CHURCH ST STE 100",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973383146",
            "telephone_number": "503-623-5226",
            "fax_number": "503-623-5326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 NE Evans St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971283923",
            "country_code": "US",
            "telephone_number": "503-434-7523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "182 SW Academy St Ste 333",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973381996",
            "country_code": "US",
            "telephone_number": "503-623-9289 x2865",
            "fax_number": "503-831-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "RACHEL",
        "middle_name": "NICOLE",
        "credential": "QMHA 2, CADC 2",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "23-QMHA-II-000151",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "23-QMHA-LL-000151",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hollie Louise Simes, APRN
• Stephanie Sireix, MS, LPC, CADC I
• Igor Sitnik
• Jack Charles Skiles
• Shari Kathleen Slaughter, CRM

• Case Manager/Care Coordinator in Dallas, OR
• Providers in Dallas, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.