Shelly Whitehead, - Counselor in Pendleton, OR

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Shelly Whitehead, is a Peer Specialist based in Pendleton, Oregon. Shelly Whitehead is licensed to practice in Oregon (license number 24-CRM-4013) and her current practice location is 200 Se Hailey Ave Ste 204, Pendleton, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 663-4104.

NPI number for Shelly Whitehead is 1073334025 and her current mailing address is Po Box 882, Pendleton, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073334025.

Contact Information

Shelly Whitehead,
200 Se Hailey Ave Ste 204,
Pendleton, OR 97801-3072
(541) 663-4104
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShelly Whitehead
GenderFemale
SpecialityPeer Specialist
Location200 Se Hailey Ave Ste 204, Pendleton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073334025
  • Provider Enumeration Date: 10/22/2024
  • Last Update Date: 01/22/2026

Medical Identifiers

Medical identifiers for Shelly Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073334025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) T-26-6330 (Oregon)Secondary
175T00000XPeer Specialist 24-CRM-4013 (Oregon)Primary

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. Shelly Whitehead is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelly Whitehead,
Po Box 882,
Pendleton, OR 97801-0882

Ph: (541) 663-4104		Shelly Whitehead,
200 Se Hailey Ave Ste 204,
Pendleton, OR 97801-3072

Ph: (541) 663-4104

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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