MR. CHRISTOPHER JAN VERSCHUYL (NPI# 1558496299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558496299 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER JAN VERSCHUYL |
| Credential | MSW, CSWA |
| Practice Address |
2410 Se 121st Ave Suite 216 Portland OR 97216-4066 |
| Practice Telephone | 5033355975 |
| Practice Fax Number | 5033355974 |
| Mailing Telephone | 5033355975 |
| Mailing Fax Number | 5033355974 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSWA #A1988 | OR | Behavioral Health & Social Service Providers |
| Street Address |
2410 SE 121ST AVE SUITE 216 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477621464 | Michelle Anne Fitz | Marriage & Family Therapist | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2006-11-30 |
| 1790092559 | Tabitha Leeann Jenner | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2010-09-01 |
| 1871819110 | Robert Taylor Ensign | Counselor | 2410 Se 121st Ave, Portland, OR 97216-4066 | 2010-04-12 |
| 1811139355 | Michele Rainier | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2009-03-30 |
| 1992968341 | Chloe Vaughn | Counselor | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2008-07-07 |
| 1083871743 | Sam David Gillam | Counselor | 2410 Se 121st Ave, Portland, OR 97216-4066 | 2008-05-20 |
| 1316111404 | Laurie Louise Crandall-bass | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2008-04-18 |
| 1245415298 | Jamie L. Stocker | Counselor | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2008-01-08 |
| 1285815225 | Janelle L Jones | Counselor | 2410 Se 121st Ave, #216, Portland, OR 97216-4066 | 2007-11-19 |
| 1235254442 | Jasmine Phoung-hanh Nguyen | Counselor | 2410 Se 121st Ave, Suite 216, Portland, OR 97216-4066 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| 1821605759 | Melanie Smith | Social Worker | 4210 N Juneau St, Portland, OR 97203-2063 | 2020-09-24 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1023624780 | Flourish Counseling and Consulting LLC | Social Worker | 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 | 2020-09-18 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1861007676 | Yvonne Recchia | Social Worker | 5257 Ne Mlk, Portland, OR 97211-3282 | 2020-09-09 |
| 1447864327 | Gordon Keepers | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 | 2020-09-08 |
| 1609484187 | Julie Pratt | Social Worker | 14 Culver Ln, Portland, CT 06480-1323 | 2020-07-21 |
| 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.