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

MS. Jill Anne Shealy

Individual provider Mental Health Counselor · NPI 1669795837

MS. Jill Anne Shealy is a Mental Health Counselor in Portland, Oregon. Qualified in 2022, 4 years ago. Accepts Medicare assignment.

Years since qualifying
4
In the registry since
2010
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Practice location Address checks out

7029 N Wall Ave
Portland, OR 97203-5151
Phone: (503) 208-4049
Fax: (971) 346-4489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1669795837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2010
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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