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

Willa Bean Jutzi Shaw, LPC

Individual provider Mental Health Counselor · NPI 1659009306

Willa Bean Jutzi Shaw, LPC is a Mental Health Counselor in Portland, Oregon. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

917 SW Oak St Ste 417
Portland, OR 97205-2807
Phone: (971) 385-4702
Fax: (971) 328-4653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Ne Irving St Ste 440, Portland, OR 97232-4208 — (541) 517-9733

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C9732 (OR)

Record details

NPI number1659009306
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 10, 2022
Last updated in NPPESMarch 8, 2026
Certification dateMarch 8, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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