INNER JOURNEY HEALING ARTS CENTER (NPI# 1245684992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245684992 |
| Entity Type | Organization |
| Organization Name | INNER JOURNEY HEALING ARTS CENTER |
| Practice Address |
134 Se 5th Ave Ste C Hillsboro OR 97123-4095 |
| Mailing Address |
134 Se 5th Ave Suite C Hillsboro OR 97123-4095 |
| Practice Telephone | 5036485269 |
| Practice Fax Number | 5036485269 |
| Mailing Telephone | 5036485269 |
| Mailing Fax Number | 5036485269 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | MR. JAY M NELSON (OPERATIONS MANAGER) |
| Authorized Official Telephone | 5036485269 |
| Authorized Official Credential | CADCI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 278095 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457404410 | Inner Journey Healing Arts Center | Counselor | 239 W Main St, Hillsboro, OR 97123-3962 | 2007-01-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INNER JOURNEY HEALING ARTS CENTER | 134 Se 5th Ave Ste C, Hillsboro, OR 97123 |
| Washington State Corporations | INNER JOURNEY HEALING ARTS CENTER | 134 Se 5th Ave # C, Hillsboro, OR 97123 |
| Street Address |
134 SE 5TH AVE STE C |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821652025 | Daniel Martin Devaney | Counselor | 134 Se 5th Ave Ste C, Hillsboro, OR 97123-4095 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1396257408 | Forming Friendships LLC | Community/Behavioral Health | 171 Roberts Dr, Hillsboro, MO 63050-4120 | 2017-10-30 |
| 1023549656 | Jason Durtschi Lcsw | Community/Behavioral Health | 3785 Nw 2nd Ave, Hillsboro, OR 97124-2156 | 2017-03-24 |
| 1619412129 | Washington County Community Corrections | Community/Behavioral Health | 160 Sw Washington St, Ms57, Hillsboro, OR 97123-3960 | 2016-12-20 |
| 1023470747 | Advanced Psychiatric Services, P.c | Community/Behavioral Health | 10124 Waterford Dr, Hillsboro, MO 63050-5426 | 2016-03-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1902201361 | Transitions for Women, LLC | Community/Behavioral Health | 527 Se Baseline St Ste G, Hillsboro, OR 97123-4149 | 2014-10-28 |
| 1285949354 | Alpha&omega Christain Counseling Services of Jefferson County Inc | Community/Behavioral Health | 10626 Business 21 # 741, Suitec, Hillsboro, MO 63050-5039 | 2010-08-13 |
| 1568775088 | Montgomery County Health Department | Community/Behavioral Health | 1404 School St, Hillsboro, IL 62049-1938 | 2010-07-26 |
| 1548393440 | County of Montgomery | Community/Behavioral Health | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2007-03-13 |
| Find all providers in HILLSBORO | ||||
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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.