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SAMANTHA MARIE SHELLEY BS
NPI 1700282415
Counselor in Roseburg, OR

Active since November 06, 2014
215 SE JACKSON STREET, ROSEBURG, OR 97470(541) 464-6401 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Marie Shelley Bs NPPES

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

SAMANTHA MARIE SHELLEY BS (NPI 1700282415) is an individual counselor in Roseburg, Oregon and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1700282415
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA MARIE SHELLEYCredential: BS
Location Address215 SE JACKSON STREETRoseburg, OR 97470
Mailing Address215 Se Jackson StreetRoseburg, OR 97470 · (541) 464-6401
Phone(541) 464-6401
Sole ProprietorNo
Enumeration DateNovember 6, 2014
✔ NPI 1700282415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
215 SE JACKSON STREET, Roseburg, OR 97470
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Other Identifiers 1

Medicaid1366697690OR

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.

MISS NORA CATHERINE STAUM
Counselor
215 SE JACKSON STREET
ROSEBURG, OR 97470
Douglas County (541) 464-4235
ENOCH NIBBLETT
Counselor (Mental Health)
215 SE JACKSON STREET
ROSEBURG, OR 97470
Douglas County (541) 464-6404

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 Samantha Shelley's NPI number?

The NPI number for Samantha Shelley is 1700282415. It was assigned to this individual provider in the NPPES registry on November 6, 2014.

Where is Samantha Shelley located?

Samantha Shelley practices at 215 SE Jackson Street, Roseburg, OR 97470. The listed phone number is (541) 464-6401.

What is Samantha Shelley's specialty?

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

When was this NPI record last updated?

The NPPES record for Samantha Shelley was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.