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

Shelley M Dickason, QMHA

Individual provider Mental Health Counselor · NPI 1124515184

Shelley M Dickason, QMHA is a Mental Health Counselor in LA Pine, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2018
Specialties on file
3

Practice location Address checks out

51340 Highway 97
LA Pine, OR 97739-9871
Phone: (541) 322-7500
Fax: (541) 322-7565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20370 Poe Sholes Dr, Bend, OR 97703-7938 — (541) 318-1377

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 19-QMHA-I-00890 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1124515184
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHA
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

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