KILLIAN DRAKE SHIELDS QMHP
NPI 1407206394
Counselor in Portland, OR

Q: What is Killian Shields's NPI number?

The NPI number for Killian Shields is 1407206394. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Killian Shields's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Killian Shields was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 21, 2016

1650 NE 32ND AVE APT 418, PORTLAND, OR 97232(541) 340-9016 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 16, 2020, Jul 15, 2019, Jun 21, 2016 (3 updates tracked since 2016).

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About Killian Drake Shields Qmhp NPPES

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

KILLIAN DRAKE SHIELDS QMHP (NPI 1407206394) is an individual counselor in Portland, Oregon and active in the NPI registry since June 2016. He maintains a secondary practice location in Klamath Falls.

NPPES Registry Identity

NPI1407206394

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameKILLIAN DRAKE SHIELDSCredential: QMHP

Location Address1650 NE 32ND AVE APT 418Portland, OR 97232-3454

Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3690

Phone(541) 340-9016

Sole ProprietorNo

Enumeration DateJune 21, 2016

Last NPPES UpdateJune 3, 20223 updates tracked since enumeration

NPPES CertifiedJune 3, 2022

✔ NPI 1407206394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1650 NE 32ND AVE APT 418, Portland, OR 97232

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Secondary Practice Location 1

Location 12210 N Eldorado AveKlamath Falls, OR 97601-6418 · Phone (541) 883-1030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 Killian Shields's NPI number?

The NPI number for Killian Shields is 1407206394. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Killian Shields located?

Killian Shields practices at 1650 NE 32nd Ave Apt 418, Portland, OR 97232. The listed phone number is (541) 340-9016.

What is Killian Shields's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Killian Shields accept?

Health plans from Providence Health Plan list Killian Shields 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 Killian Shields was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.