Richard Amos Shellbe, PWS,CRM/PSS,QMHA-R

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

23-CRM-2258 Issued in OR

Practice address

34272 Bachelor Flat Rd
Saint Helens, OR 97051-3710

Phone

(503) 396-2826

NPI assigned

Aug 7, 2023

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1972286052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34272 BACHELOR FLAT RD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970513710",
            "telephone_number": "503-396-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34272 BACHELOR FLAT RD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970513710",
            "telephone_number": "503-396-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLBE",
        "first_name": "RICHARD",
        "middle_name": "AMOS",
        "name_prefix": "Mr.",
        "credential": "PWS,CRM/PSS,QMHA-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "23-CRM-2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin D Sexton-Sayler, APRN
• Tasha Sharp
• Candace Lynn Shaw
• Rebecca A Shaw, CRM, PSS
• Melissa Shockman, MA
• Halley Shriber
• Gregorio A Sicard Jr., M.D.
• Aspen N Skiens, LMT
• Brandi Michelle Skvarna, MA

• Peer Specialist in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.