Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shane Harold Bonella, MCOUN, LPC

Individual provider Professional Counselor · NPI 1255640835

Mr. Shane Harold Bonella, MCOUN, LPC is an Undefined Non-Physician Type (Specify) in Grants Pass, Oregon. Qualified in 2008, 18 years ago. Practices with Options for Southern Oregon, a 71-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
18
Licensed in
OR
In the registry since
2010
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1215 SW G St
Grants Pass, OR 97526-2544
Phone: (541) 476-2373
Fax: (541) 955-7444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C2795 (OR)

Record details

NPI number1255640835
Entity typeIndividual (Type 1)
GenderMale
Credentials MCOUN , LPC
Sole proprietorNo
NPI enumeratedSeptember 30, 2010
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Options For Southern Oregon — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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