INNER JOURNEY HEALING ARTS CENTER (NPI# 1457404410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457404410 |
| Entity Type | Organization |
| Organization Name | INNER JOURNEY HEALING ARTS CENTER |
| Practice Address |
239 W Main St Hillsboro OR 97123-3962 |
| Mailing Address |
28932 Huber Rd Scappoose OR 97056-2027 |
| Practice Telephone | 5036218735 |
| Practice Fax Number | 5035436101 |
| Mailing Telephone | 5035436100 |
| Mailing Fax Number | 5035436101 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS LISA ANN BURNELL (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5036218735 |
| Authorized Official Credential | M.ED,CADCII,CHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 63212 | OR | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
02-R-13 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 278095 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245684992 | Inner Journey Healing Arts Center | Community/Behavioral Health | 134 Se 5th Ave Ste C, Hillsboro, OR 97123-4095 | 2016-04-19 |
| 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 |
239 W MAIN ST |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-3962 |
| 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 | 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 |
|---|---|---|---|---|
| 1457903403 | Anagha Phadkule | Counselor | 284 Se 40th Ave, Hillsboro, OR 97123-7185 | 2019-07-10 |
| 1144708009 | Maria Watters | Counselor | 4660 Ne Belknap Ct Ste 119, Hillsboro, OR 97124-8402 | 2018-08-02 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1194100289 | Judy Finnegan | Counselor | 5 Bridle Ridge Spur, Hillsboro, MO 63050-5054 | 2015-07-30 |
| 1073998266 | Lindsey Johnston | Counselor | 351 Main Street, Hillsboro, MO 63050 | 2015-07-29 |
| 1477976231 | Bridgette Bogle-davenport | Counselor | 284 Winchester Hwy, Hillsboro, TN 37342-3561 | 2014-01-30 |
| 1174959050 | Sherwood Miller Harrison IIi | Counselor | 454 Nw Tork Pl, Hillsboro, OR 97006 | 2013-09-23 |
| 1043644008 | Peter Christopher Bryant | Counselor | 720 Se Washington St., Hillsboro, OR 97123 | 2013-08-27 |
| 1043503097 | Meg Alexandria Scaison | Counselor | 486 Se Washington St, Hillsboro, OR 97123-4141 | 2011-05-24 |
| 1457505117 | Lisa Ann Burnell | Counselor | 134 Se 5th Ave, Suite C, Hillsboro, OR 97123-4095 | 2008-11-07 |
| 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.