Willa Bean Jutzi Shaw, LPC - Medicare Counselor in Portland, OR

  1. Home
  2. Counselors
  3. OR
  4. Portland
Willa Bean Jutzi Shaw, LPC is a medicare enrolled "Counselor - Mental Health" provider in Portland, Oregon. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Neighborhood Health Center and her current practice location is 917 Sw Oak St Ste 417, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 385-4702.

Willa Bean Jutzi Shaw is licensed to practice in Oregon (license number C9732) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659009306.

Contact Information

Willa Bean Jutzi Shaw, LPC
917 Sw Oak St Ste 417,
Portland, OR 97205-2807
(971) 385-4702
(971) 328-4653

Map and Direction


Healthcare Provider's Profile

Full NameWilla Bean Jutzi Shaw
GenderFemale
SpecialityMental Health Counselor
Experience6 Years
Location917 Sw Oak St Ste 417, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Willa Bean Jutzi Shaw graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1659009306
  • Provider Enumeration Date: 08/10/2022
  • Last Update Date: 03/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0042727927
  • Enrollment ID: I20250725003066

Medical Identifiers

Medical identifiers for Willa Bean Jutzi Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659009306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health C9732 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Neighborhood Health Center842622789335

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. Willa Bean Jutzi Shaw allows following entities to bill medicare on her behalf.
Entity NameNeighborhood Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174820815
PECOS PAC ID: 8426227893
Enrollment ID: O20110802000211
Entity NameVista Counseling & Consultation Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275864985
PECOS PAC ID: 1153748363
Enrollment ID: O20200902002946

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. Willa Bean Jutzi Shaw 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 AddressPractice Location Address
Willa Bean Jutzi Shaw, LPC
917 Sw Oak St Ste 417,
Portland, OR 97205-2807

Ph: (971) 385-4702		Willa Bean Jutzi Shaw, LPC
917 Sw Oak St Ste 417,
Portland, OR 97205-2807

Ph: (971) 385-4702

Reviews and Comments


Counselor in Portland, OR

Deanna Gold, M.A.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232
Phone: 503-891-9937    
Loren Dale Horton, B.A, M.DIV.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1320 Sw Washington St, Portland, OR 97205
Phone: 503-535-1150    
Michael Peter Kender, MA, M.ED
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9111 Ne Sunderland Ave, Portland, OR 97211
Phone: 503-280-6646    Fax: 503-280-6051
Karissa Lynn Catalano,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2415 Se 43rd Ave, Portland, OR 97206
Phone: 503-238-0705    
James Paul Bryant, LCSW, CADC 3
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-964-0000    
Michael Ann Benchoff, MSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204
Phone: 503-988-4949    
Lynn A Fontana, L.M.F.T, PH.D.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8035 Ne Prescott St, Portland, OR 97218
Phone: 503-223-7719    Fax: 503-255-4714

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.