Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073334025 Individual Practitioner Female Practitioner

Shelly Whitehead

Peer Specialist • Pendleton, OR

Professional Overview & Biography Verified Profile Summary

Shelly Whitehead is a registered healthcare professional specializing in Peer Specialist in Pendleton, OR. Practice services are available at 200 SE HAILEY AVE STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Se Hailey Ave Ste 204

Pendleton, OR 978013072

Telephone 5416634104
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Pendleton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
83 Specialists

Practicing in Pendleton, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-22
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 24-CRM-4013

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR T-26-6330

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Ive Jacobsen

Community Health Worker

NPI 1134802085
Julie Bean , CADCI

Counselor - Addiction (Substance Use Disorder)

NPI 1245699271
Whitney Sanders , CRM

Peer Specialist

NPI 1316625007
Lawrence Montez , CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1346921228
Susan Fanning , RN

Registered Nurse - General Practice

NPI 1427900562

Registered Nurse

Steven Mcbride

Peer Specialist

NPI 1437970480

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2026

Peer Specialist (License #24-CRM-4013 in OR)

NPI Profile Active October 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2024

Registered at 200 SE HAILEY AVE STE 204, PENDLETON, OR 978013072 (Tel: 5416634104)

📍
Updated Business Mailing Address October 22, 2024

Registered at PO BOX 882, PENDLETON, OR 978010882 (Tel: 5416634104)

👤
Provider Name / Credentials Updated October 22, 2024

Recorded as SHELLY WHITEHEAD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration October 22, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073334025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2024
Last Update: January 22, 2026
Sole Proprietor: No

Mailing Address

Po Box 882

Pendleton, OR 978010882

Phone: 5416634104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.