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MR. SHAUN MICHAEL VALLERY
NPI 1164096715
Counselor - Mental Health in Mcminnville, OR

Active since May 18, 2021PECOS Enrolled
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128(541) 201-3973 Get Directions Write a Review

NPPES record last updated: June 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2024, May 18, 2021 (2 updates tracked since 2021).

About Mr. Shaun Michael Vallery NPPES

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

MR. SHAUN MICHAEL VALLERY (NPI 1164096715) is an individual mental health provider in Mcminnville, Oregon and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Helens, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164096715
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SHAUN MICHAEL VALLERY
Location Address435 NE EVANS ST STE AMcminnville, OR 97128-4635
Mailing Address435 Ne Evans St Ste AMcminnville, OR 97128-4635 · (503) 397-5211
Phone(541) 201-3973
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 18, 2021
Last NPPES UpdateJune 9, 20242 updates tracked since enumeration
NPPES CertifiedJune 9, 2024
✔ NPI 1164096715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
435 NE EVANS ST STE A, Mcminnville, OR 97128
Open in Google Maps ↗

Secondary Practice Location 1

Location 158646 McNulty WaySaint Helens, OR 97051-6210 · Phone (503) 397-5211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shaun Michael Vallery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284131632
PECOS Enrollment IDI20251009005033
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.

Medicare Billing Reassignment

Medicare enrollment records show Shaun Vallery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran Community Services Northwest
Same address
Community/Behavioral Health
435 NE EVANS ST STE A
Mcminnville, OR 97128
  • Reassigned Medicare billing, Oregon enrollment
  • 20 clinicians in this Medicare group
NPI 1255542106 (503) 472-4020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ESTENIO ELIEZER SEDE EDUARDO
Counselor (Mental Health)
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
MICHELLE MOORE
Peer Specialist
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
KATHERINE BOWMAN
Counselor (Mental Health)
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
SAMANTHA DEWEY
Case Manager/Care Coordinator
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
SYDNEY ROSE PHILLIPS
Case Manager/Care Coordinator
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
LEANNE THERESE CASE
Social Worker
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
ANGELICA MARIA CAMPOS
Counselor
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (206) 901-1685
ANA LA PAZ
Counselor (Mental Health)
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020

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 Shaun Vallery's NPI number?

The NPI number for Shaun Vallery is 1164096715. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Shaun Vallery located?

Shaun Vallery practices at 435 NE Evans St Ste A, Mcminnville, OR 97128. The listed phone number is (541) 201-3973.

What is Shaun Vallery's specialty?

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

Is Shaun Vallery enrolled in Medicare?

Yes. Shaun Vallery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shaun Vallery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Vallery reassigns Medicare benefits to Lutheran Community Services Northwest (Mcminnville, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaun Vallery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaun Vallery accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Shaun Vallery 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 Shaun Vallery was last updated on June 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.