<unavail> in Portland, OR - Medicare Counselor

is a medicare enrolled mental health clinic (Counselor - Mental Health) in Portland, Oregon. The current practice location for is 1050 Sw 6th Ave Ste 1100, Portland, Oregon. For appointments, you can reach them via phone at (503) 308-8287. The mailing address for is 2249 Red Oak Dr, Little Elm, Texas and phone number is (214) 475-0445.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1184208654. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 308-8287.

Contact Information


	1050 Sw 6th Ave Ste 1100 Portland OR 97204-1153
	(503) 308-8287
	(972) 637-4065

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Counselor
Location	1050 Sw 6th Ave Ste 1100, Portland, Oregon
Authorized Official Name and Position	Shantee Mayfield (CLINICAL EXECUTIVE OFFICER)
Authorized Official Contact	2144750445
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2249 Red Oak Dr Little Elm TX 75068-5665 Ph: (214) 475-0445	1050 Sw 6th Ave Ste 1100 Portland OR 97204-1153 Ph: (503) 308-8287

NPI Details:

NPI Number	1184208654
Provider Enumeration Date	05/10/2021
Last Update Date	08/08/2024
Certification Date	08/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6709226533
Medicare Enrollment ID	O20240628000390

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184208654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary
251S00000X	Community/behavioral Health	(* (Not Available))	Secondary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary
261QM0850X	Clinic/center - Adult Mental Health	(* (Not Available))	Secondary
261QM0855X	Clinic/center - Adolescent And Children Mental Health	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Shantee L Mayfield
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1104383405 PECOS PAC ID: 8426498254 Enrollment ID: I20240702000424

Reviews and Comments

Counselor in Portland, OR

Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2926 Ne Flanders St Ste 3c, Portland, OR 97232 Phone: 971-270-0167

- Medicare Mental Health Clinic in Portland, OR