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MR. SHANE FOOKES
NPI 1699375600
Counselor - Professional in Hillsboro, OR

Active since October 28, 2020Opted out of Medicare · through Jan 1, 2028
6701 NE CAMPUS DR, HILLSBORO, OR 97124(503) 847-9940(503) 961-9003 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Oct 28, 2020 (2 updates tracked since 2020).

About Mr. Shane Fookes NPPES

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

MR. SHANE FOOKES (NPI 1699375600) is an individual professional provider in Hillsboro, Oregon and active in the NPI registry since October 2020. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1699375600
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. SHANE FOOKES
Location Address6701 NE CAMPUS DRHillsboro, OR 97124-5500
Mailing Address6701 Ne Campus DrHillsboro, OR 97124-5500 · (503) 847-9940
Phone(503) 847-9940
Fax(503) 961-9003
Sole ProprietorYes
Enumeration DateOctober 28, 2020
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1699375600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
6701 NE CAMPUS DR, Hillsboro, OR 97124
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Shane Fookes has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

AMBER THOMAS MA, LPC
Counselor (Professional)
6701 NE CAMPUS DR
HILLSBORO, OR 97124
Washington County (503) 419-8926
PAULIE TIETZ L.P.C.
Counselor (Professional)
6701 NE CAMPUS DR
HILLSBORO, OR 97124
Washington County (503) 880-5125

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 Fookes's NPI number?

The NPI number for Shane Fookes is 1699375600. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Shane Fookes located?

Shane Fookes practices at 6701 NE Campus Dr, Hillsboro, OR 97124. The listed phone number is (503) 847-9940.

What is Shane Fookes's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shane Fookes enrolled in Medicare?

No. Shane Fookes has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shane Fookes accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shane Fookes 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 Shane Fookes was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.