JESSE JOHNSON (NPI# 1043657687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043657687 |
| Entity Type | Individual |
| Full Name | JESSE JOHNSON |
| Credential | M.A. |
| Practice Address |
443 Ne Knott St Portland OR 97212-3108 |
| Practice Telephone | 5035040941 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549284 | Jesse Taylor Johnson | Counselor | 1900 Silver Lake Rd, New Brighton, MN 55112-1786 | 2018-08-22 |
| 1851618433 | Jesse Johnson | Counselor | 700 Pinhook Dr, Savannah, TN 38372-2783 | 2010-04-22 |
| 1942830492 | Jesse Howard Johnson IIi | Case Manager/Care Coordinator | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2020-01-23 |
| 1235794322 | Jesse Alexander Johnson Jr. | Internal Medicine | 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 | 2019-05-05 |
| 1538623087 | Jesse Johnson | Counselor | 301 Nw F St, Grants Pass, OR 97526-2051 | 2019-01-29 |
| 1932624178 | Jesse Johnson | Dentist | 9201 Eagle Ranch Rd Nw, Albuquerque, NM 87114-6032 | 2017-08-09 |
| 1528360252 | Jesse J Johnson | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-12-01 |
| 1003042664 | Jesse Thomas Johnson II | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2009-06-09 |
| 1306003355 | Jesse Kendall Johnson | Dentist | 24502 Pacific Park Dr, 106, Aliso Viejo, CA 92656-3033 | 2008-05-19 |
| 1811042930 | Jesse Paul Johnson | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Medsport, Ann Arbor, MI 48105-9755 | 2007-01-25 |
| Street Address |
443 NE KNOTT ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235170309 | Kellie Barnes | Physical Therapist | 443 Ne Knott St, Portland, OR 97212-3108 | 2006-06-09 |
| 1841845732 | Body Altar | Massage Therapist | 443 Ne Knott St, Portland, OR 97212-3108 | 2019-08-07 |
| 1134656093 | Lynn Alice Emmons | Social Worker | 443 Ne Knott St, Portland, OR 97212-3108 | 2017-05-22 |
| 1437683257 | Janean Vedova | Marriage & Family Therapist | 443 Ne Knott St, Portland, OR 97212-3108 | 2017-04-18 |
| 1255872032 | Konrad Von Walther Lcsw LLC | Counselor | 443 Ne Knott St, Portland, OR 97212-3108 | 2017-03-14 |
| 1013366947 | Nurture Counseling Services LLC | Counselor | 443 Ne Knott St, Portland, OR 97212-3108 | 2016-06-10 |
| 1659728665 | Loretta O'connor | Massage Therapist | 443 Ne Knott St, Portland, OR 97212-3108 | 2016-05-19 |
| 1831580422 | Mary Kibbe | Massage Therapist | 443 Ne Knott St, Portland, OR 97212-3108 | 2015-02-18 |
| 1962805622 | Core Physical Therapy LLC | Clinic/Center | 443 Ne Knott St, Portland, OR 97212-3108 | 2014-10-08 |
| 1225468788 | Andrea Blum | Massage Therapist | 443 Ne Knott St, Portland, OR 97212-3108 | 2013-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
| 1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.