Ms Angela Shy, LPC, LMHC in Beaverton, OR - Medicare Counselor Provider

Ms Angela Shy, LPC, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Beaverton, Oregon. Her current practice location is 1500 Nw Bethany Blvd Ste 310, Beaverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 626-9494.

Ms Angela Shy is licensed to practice in Oregon (license number C9855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215695150.

Contact Information

	Ms Angela Shy, LPC, LMHC
	1500 Nw Bethany Blvd Ste 310, Beaverton, OR 97006-5238
	(503) 626-9494
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Angela Shy
Gender	Female
Speciality	Counselor - Mental Health
Location	1500 Nw Bethany Blvd Ste 310, Beaverton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215695150
Provider Enumeration Date: 12/07/2021
Last Update Date: 05/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1557891264
Enrollment ID: I20250211001984

Medical Identifiers

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

Identifier	Type	State	Issuer
1215695150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH61587145 (Washington)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	C9855 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Angela Shy allows following entities to bill medicare on her behalf.

Entity Name	Columbia River Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669411377 PECOS PAC ID: 2860385309 Enrollment ID: O20040206000649

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Angela Shy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Angela Shy, LPC, LMHC 1500 Nw Bethany Blvd Ste 310, Beaverton, OR 97006-5238 Ph: (541) 209-0283	Ms Angela Shy, LPC, LMHC 1500 Nw Bethany Blvd Ste 310, Beaverton, OR 97006-5238 Ph: (503) 626-9494

Reviews and Comments

Counselor in Beaverton, OR

Jenny Thom, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9670 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 Phone: 971-229-4009 Fax: 866-324-6009
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Beth R James, LPC,CADCIII Counselor Medicare: Medicare Enrolled Practice Location: 1500 Nw Bethany Blvd Ste 320, Beaverton, OR 97006 Phone: 503-567-3264
Mrs. Charlotte Marie Rector, BSED, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 9700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 Phone: 503-626-9494
Taryn Weslie Van Vliet, Counselor Medicare: Not Enrolled in Medicare Practice Location: Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 Phone: 503-217-2189 Fax: 503-217-2257

Ms Angela Shy, LPC, LMHC - Medicare Counselor in Beaverton, OR