SHELBY MCKENZIE SPADE
NPI 1003586819
Counselor - Mental Health in Canby, OR

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
22018 S CENTRAL POINT RD, CANBY, OR 97013(503) 221-4531 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelby Mckenzie Spade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY MCKENZIE SPADE (NPI 1003586819) is an individual mental health provider in Canby, Oregon and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003586819
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELBY MCKENZIE SPADE
Location Address22018 S CENTRAL POINT RDCanby, OR 97013-8705
Mailing Address4305 Se 59th AvePortland, OR 97206-3853 · (585) 545-0708
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
NPI 1003586819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
22018 S CENTRAL POINT RD, Canby, OR 97013

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shelby Mckenzie Spade is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163956756
PECOS Enrollment IDI20241105000852
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Spade's NPI number?

The NPI number for Shelby Spade is 1003586819. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Shelby Spade located?

Shelby Spade practices at 22018 S Central Point Rd, Canby, OR 97013. The listed phone number is (503) 221-4531.

What is Shelby Spade's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shelby Spade enrolled in Medicare?

Yes. Shelby Spade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelby Spade accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Shelby Spade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelby Spade was last updated on September 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.