SKIP SHEWELL
NPI 1124426093
Counselor - Mental Health in Portland, OR

Q: What is Skip Shewell's NPI number?

The NPI number for Skip Shewell is 1124426093. It was assigned to this individual provider in the NPPES registry on December 9, 2014.

Q: What is Skip Shewell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Skip Shewell was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since December 09, 2014

631 NE 102ND AVE STE 104, PORTLAND, OR 97220(510) 289-3412 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Dec 29, 2021 (2 updates tracked since 2021).

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About Skip Shewell NPPES

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

SKIP SHEWELL (NPI 1124426093) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C3820) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1124426093

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSKIP SHEWELL

Location Address631 NE 102ND AVE STE 104Portland, OR 97220-4004

Mailing Address631 Ne 102nd Ave Ste 104Portland, OR 97220-4004 · (510) 289-3412

Phone(510) 289-3412

Sole ProprietorYes

Enumeration DateDecember 9, 2014

Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration

NPPES CertifiedAugust 11, 2022

✔ NPI 1124426093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · C3820

631 NE 102ND AVE STE 104, Portland, OR 97220

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc..Insurance ›

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 Skip Shewell's NPI number?

The NPI number for Skip Shewell is 1124426093. It was assigned to this individual provider in the NPPES registry on December 9, 2014.

Where is Skip Shewell located?

Skip Shewell practices at 631 NE 102nd Ave Ste 104, Portland, OR 97220. The listed phone number is (510) 289-3412.

What is Skip Shewell's specialty?

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

What insurance does Skip Shewell accept?

Health plans from Kaiser Permanente and Moda Health Plan, Inc. list Skip Shewell 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 Skip Shewell was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.