HOLISTIC HEALING BEHAVIORAL HEALTHCARE (NPI# 1356973010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356973010 |
| Entity Type | Organization |
| Organization Name | HOLISTIC HEALING BEHAVIORAL HEALTHCARE |
| Practice Address |
5257 Ne Martin Luther King Blvd Ste 201 Portland OR 97211-3283 |
| Mailing Address |
6941 N Roberts Ave Portland OR 97203-6361 |
| Practice Telephone | 5039330491 |
| Mailing Telephone | 5039330491 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | MRS. JAMAICA NIZSHA IMANI-NELSON (CEO) |
| Authorized Official Telephone | 5039330491 |
| Authorized Official Credential | MSW,CADC III, CS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HOLISTIC HEALING BEHAVIORAL HEALTHCARE | 6941 N Roberts Ave, Portland, OR 97203 |
| Street Address |
5257 NE MARTIN LUTHER KING BLVD STE 201 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
| 1821654112 | Hand of Mercy Health Care, LLC | Clinic/Center | 1087 Forest Ave, Portland, ME 04103-3321 | 2019-05-13 |
| 1598228579 | Christensen Counseling, LLC | Clinic/Center | 6420 Sw Macadam Avenue, Suite 390, Portland, OR 97239-9723 | 2019-04-08 |
| 1700358314 | Nikki Wetherell Counseling | Clinic/Center | 19 South St Ste 6, Portland, ME 04101-3963 | 2018-12-20 |
| 1427545961 | Value Creation Counseling | Clinic/Center | 2028 Se Marion St Apt 11, Portland, OR 97202-7365 | 2018-04-19 |
| 1982140588 | Columbiacare Services | Clinic/Center | 17720 Ne Halsey St # 1, Portland, OR 97230-6734 | 2017-01-06 |
| 1528420692 | Connections First, LLC | Clinic/Center | 2250 Nw Flanders St Ste 201, Portland, OR 97210-5410 | 2016-03-28 |
| 1194104026 | Coastal Plains Community Mhmr Center | Clinic/Center | 200 Marriott Drive, Portland, TX 78374-2213 | 2015-05-26 |
| 1841618253 | Sellwood Counseling Services | Clinic/Center | 6637 Se Milwaukie Ave, Ste. 204, Portland, OR 97202-5658 | 2014-04-02 |
| 1245378546 | De Paul Treatment Centers, Inc. | Clinic/Center | 1320 Sw Washington St, Portland, OR 97205-2327 | 2007-02-01 |
| 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.