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SHANAKO DEVOLL CADC I, QMHA
NPI 1316254022
Counselor - Mental Health in Portland, OR

Active since September 02, 2010PECOS Enrolled
2450 SE BELMONT ST, PORTLAND, OR 97214(503) 887-6255(503) 212-0969 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shanako Devoll Cadc I, Qmha NPPES

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

SHANAKO DEVOLL CADC I, QMHA (NPI 1316254022) is an individual mental health provider in Portland, Oregon, licensed in Oregon (L7423) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316254022
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANAKO DEVOLLCredential: CADC I, QMHA
Location Address2450 SE BELMONT STPortland, OR 97214-2821
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 200-3923 · Fax (503) 241-7419
Phone(503) 887-6255
Fax(503) 212-0969
Sole ProprietorNo
Enumeration DateSeptember 2, 2010
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1316254022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · L7423
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 05-03-01 (OR)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2450 SE BELMONT ST, Portland, OR 97214
Open in Google Maps ↗

Other Names 1

Other Name (5)S. Devoll Lcsw

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanako Devoll Cadc I, Qmha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shanako Devoll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healing Tides Counseling, LLC
Same address
Mental Health
2450 SE BELMONT ST
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group
NPI 1578146106 (503) 887-2555

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 6

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

RICHARD BLATT LMT
Massage Therapist
2450 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 407-4827
NICO AGUILAR SHANK
Social Worker (Clinical)
2450 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (971) 910-8918
WILLIAM ROBERT TERRALL LMT
Massage Therapist
2450 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (541) 292-8957
HEALING TIDES COUNSELING, LLC
Counselor (Mental Health)
2450 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 887-2555
SELECT HEALTHCARE LLC
Chiropractor
2450 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 367-6685
PORTLAND BODYWORK
Massage Therapist
2450 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 407-4827

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 Shanako Devoll's NPI number?

The NPI number for Shanako Devoll is 1316254022. It was assigned to this individual provider in the NPPES registry on September 2, 2010. The provider is also known as S. Devoll Lcsw.

Where is Shanako Devoll located?

Shanako Devoll practices at 2450 SE Belmont St, Portland, OR 97214. The listed phone number is (503) 887-6255.

What is Shanako Devoll's specialty?

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

Is Shanako Devoll enrolled in Medicare?

Yes. Shanako Devoll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shanako Devoll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanako Devoll reassigns Medicare benefits to Healing Tides Counseling, LLC (Portland, 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 Shanako Devoll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanako Devoll accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Shanako Devoll 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 Shanako Devoll was last updated on April 27, 2023. 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.