SHANE LEE NELSON
NPI 1417462813
Counselor - Mental Health in Springfield, OR

Active since December 07, 2017
288 MILL ST BLDG N, SPRINGFIELD, OR 97477(541) 942-3939(541) 942-9310 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 1, 2020, Dec 7, 2017 (2 updates tracked since 2017).

About Shane Lee Nelson NPPES

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

SHANE LEE NELSON (NPI 1417462813) is an individual mental health provider in Springfield, Oregon and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1417462813
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANE LEE NELSON
Location Address288 MILL ST BLDG NSpringfield, OR 97477-4597
Mailing Address4943 E StSpringfield, OR 97478-6047
Fax(541) 942-9310
Sole ProprietorYes
Enumeration DateDecember 7, 2017
Last NPPES UpdateJune 1, 20202 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
✔ NPI 1417462813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
288 MILL ST BLDG N, Springfield, OR 97477

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 Shane Nelson's NPI number?

The NPI number for Shane Nelson is 1417462813. It was assigned to this individual provider in the NPPES registry on December 7, 2017.

Where is Shane Nelson located?

Shane Nelson practices at 288 Mill St Bldg N, Springfield, OR 97477. The listed phone number is (541) 942-3939.

What is Shane Nelson's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane Nelson was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.