IndividualActive
Shelley Dickason, QMHA
NPI 1124515184 · Case Manager/Care Coordinator · La Pine, OR
Provider details
- NPI number
- 1124515184
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Credential
- QMHA
- Sex
- Female
- Sole proprietor
- No
- License
- 19-QMHA-I-00890 (OR)
Specialties & taxonomies
Other Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
51340 Highway 97
La Pine, OR 97739-9871
Phone: (541) 322-7500
Fax: (541) 322-7565
Street-level locationGet directions
Mailing address
2577 Ne Courtney Dr
Bend, OR 97701-7752
Additional practice locations (1)
- 20370 Poe Sholes DrBend, OR 97703-7938Phone: (541) 318-1377Fax: (541) 383-4587
Registry dates
- Enumerated
- 2018-04-16
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.