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SHAWNTAE MARIE WARDELL
NPI 1780455154
Counselor - Mental Health in Coos Bay, OR

Active since January 12, 2024
1885 THOMPSON RD, COOS BAY, OR 97420(541) 266-8480(541) 266-8479 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawntae Marie Wardell NPPES

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

SHAWNTAE MARIE WARDELL (NPI 1780455154) is an individual mental health provider in Coos Bay, Oregon and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1780455154
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAWNTAE MARIE WARDELL
Location Address1885 THOMPSON RDCoos Bay, OR 97420-2152
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 266-8480 · Fax (541) 266-8479
Phone(541) 266-8480
Fax(541) 266-8479
Sole ProprietorNo
Enumeration DateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1780455154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1885 THOMPSON RD, Coos Bay, OR 97420
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Other Providers at the Same Location NPPES 20

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

ADAM CHRISTOPHER GERNANDT
Counselor (Mental Health)
1885 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 266-8480
REBECCA HARTLEY
Counselor (Mental Health)
1885 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 266-8480
MALLORY BABCOCK
Counselor (Mental Health)
1885 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 266-8480
VALERIE J PALMER
Counselor (Mental Health)
1885 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 266-8480
JESSICA ELLEN GLAZIER
Counselor (Mental Health)
1885 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 266-8480
STEPHANIE CLAIRE WHITTEN
Counselor (Mental Health)
1885 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 266-8480
PAUL CASTONGUAY
Counselor (Addiction (Substance Use Disorder))
1885 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 266-8480
BONITA SUE STRINGFIELD
Counselor (Mental Health)
1885 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 266-8480

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 Shawntae Wardell's NPI number?

The NPI number for Shawntae Wardell is 1780455154. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Where is Shawntae Wardell located?

Shawntae Wardell practices at 1885 Thompson Rd, Coos Bay, OR 97420. The listed phone number is (541) 266-8480.

What is Shawntae Wardell'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 Shawntae Wardell was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.