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SHELLY WHITEHEAD
NPI 1073334025
Peer Specialist in Pendleton, OR

Active since October 22, 2024
200 SE HAILEY AVE STE 204, PENDLETON, OR 97801(541) 663-4104 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly Whitehead NPPES

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

SHELLY WHITEHEAD (NPI 1073334025) is an individual peer specialist in Pendleton, Oregon, licensed in Oregon (24-CRM-4013) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1073334025
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHELLY WHITEHEAD
Location Address200 SE HAILEY AVE STE 204Pendleton, OR 97801-3072
Mailing AddressPo Box 882Pendleton, OR 97801-0882 · (541) 663-4104
Phone(541) 663-4104
Sole ProprietorNo
Enumeration DateOctober 22, 2024
Last NPPES UpdateJanuary 22, 2026
NPPES CertifiedJanuary 22, 2026
✔ NPI 1073334025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 24-CRM-4013
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License T-26-6330 (OR)
200 SE HAILEY AVE STE 204, Pendleton, OR 97801
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Other Providers at the Same Location NPPES 18

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

AMIE LORAINE MARTIN
Peer Specialist
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 962-0162
STEPHANIE MILLER MSW
Social Worker (Clinical)
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 962-0162
DESIREE N MILLS CRM, CADC-R
Peer Specialist
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 963-4104
OREGON WASHINGTON HEALTH NETWORK
Clinic/Center (Health Service)
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 429-8844
SUSAN FANNING RN
Registered Nurse (General Practice)
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 663-4104
STEVEN MCBRIDE
Peer Specialist
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 663-4104
MICHAEL MILLER
Peer Specialist
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 663-4104
DAVID A DUNN CADC R
Counselor (Addiction (Substance Use Disorder))
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 663-4104

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 Shelly Whitehead's NPI number?

The NPI number for Shelly Whitehead is 1073334025. It was assigned to this individual provider in the NPPES registry on October 22, 2024.

Where is Shelly Whitehead located?

Shelly Whitehead practices at 200 SE Hailey Ave Ste 204, Pendleton, OR 97801. The listed phone number is (541) 663-4104.

What is Shelly Whitehead's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shelly Whitehead was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.