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WILLA BEAN JUTZI SHAW LPC
NPI 1659009306
Counselor - Mental Health in Portland, OR

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment
917 SW OAK ST STE 417, PORTLAND, OR 97205(971) 385-4702(971) 328-4653 Get Directions Write a Review

NPPES record last updated: March 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2026, Nov 14, 2025, Sep 18, 2025 and 1 more (4 updates tracked since 2022).

About Willa Bean Jutzi Shaw Lpc NPPES

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

WILLA BEAN JUTZI SHAW LPC (NPI 1659009306) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C9732) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659009306
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWILLA BEAN JUTZI SHAWCredential: LPC
Location Address917 SW OAK ST STE 417Portland, OR 97205-2807
Mailing Address917 Sw Oak St Ste 417Portland, OR 97205-2807 · (971) 385-4702 · Fax (971) 328-4653
Phone(971) 385-4702
Fax(971) 328-4653
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 10, 2022
Last NPPES UpdateMarch 8, 20264 updates tracked since enumeration
NPPES CertifiedMarch 8, 2026
✔ NPI 1659009306 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 · C9732
917 SW OAK ST STE 417, Portland, OR 97205
Open in Google Maps ↗

Other Names 1

Former Name (1)Willa Jutzi Lpc

Secondary Practice Location 1

Location 11500 NE Irving St Ste 440Portland, OR 97232-4208 · Phone (541) 517-9733

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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 and accepts Medicare assignment

Willa Bean Jutzi Shaw Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42727927
PECOS Enrollment IDI20250725003066
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 Willa Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neighborhood Health Center
5.7 mi
Federally Qualified Health Center (FQHC)
10330 SE 32ND AVE STE 325
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 36 clinicians in this Medicare group
NPI 1083984264 (503) 416-1960

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 10

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

ANGELICA NENCHEV LPC, CADC I
Counselor (Mental Health)
917 SW OAK ST STE 417
PORTLAND, OR 97205
Multnomah County (503) 208-6158
INNERKIN LLC
Marriage & Family Therapist
917 SW OAK ST STE 417
PORTLAND, OR 97205
Multnomah County (503) 994-1049
CAROLYN E REID LMFT
Marriage & Family Therapist
917 SW OAK ST STE 417
PORTLAND, OR 97205
Multnomah County (503) 994-1049
ROSEMARIE JOY MINKLER PMHNP
Psychiatry & Neurology (Psychiatry)
917 SW OAK ST STE 417
PORTLAND, OR 97205
Multnomah County (971) 402-2641
WILDFLOWER COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
917 SW OAK ST STE 417
PORTLAND, OR 97205
Multnomah County (971) 385-4702
PRIYA RAO
Nurse Practitioner (Psychiatric/Mental Health)
917 SW OAK ST STE 417
PORTLAND, OR 97205
Multnomah County (614) 353-2808
CLARIS MENTAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
917 SW OAK ST STE 417
PORTLAND, OR 97205
Multnomah County (971) 365-4513
PACIFIC THERAPY LLC
Psychologist
917 SW OAK ST STE 417
PORTLAND, OR 97205
Multnomah County (503) 278-5908

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 Willa Shaw's NPI number?

The NPI number for Willa Shaw is 1659009306. It was assigned to this individual provider in the NPPES registry on August 10, 2022. The provider is also known as Willa Jutzi Lpc.

Where is Willa Shaw located?

Willa Shaw practices at 917 SW Oak St Ste 417, Portland, OR 97205. The listed phone number is (971) 385-4702.

What is Willa Shaw's specialty?

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

Is Willa Shaw enrolled in Medicare?

Yes. Willa Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Willa Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willa Shaw reassigns Medicare benefits to Neighborhood Health Center (Milwaukie, 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 Willa Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willa Shaw accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Willa Shaw 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 Willa Shaw was last updated on March 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.