JANICE CONSTANTINO (NPI# 1669860383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669860383 |
| Entity Type | Individual |
| Full Name | JANICE CONSTANTINO |
| Other Name | JANICE MALLARI VICEDO |
| Credential | LPC, CADC 1 |
| Practice Address |
1815 Sw Marlow Ave Ste 218 Portland OR 97225-5187 |
| Practice Telephone | 5034444862 |
| Practice Fax Number | 5034444866 |
| Mailing Telephone | 5034444862 |
| Mailing Fax Number | 5034444866 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
C5387 | OR | Behavioral Health & Social Service Providers |
| N | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
1815 SW MARLOW AVE STE 218 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295981256 | Brianne Petrie | Psychologist | 1815 Sw Marlow Ave Ste 218, Portland, OR 97225-5187 | 2008-08-11 |
| 1275006546 | Monica Linder | Social Worker | 1815 Sw Marlow Ave Ste 218, Portland, OR 97225-5187 | 2019-01-09 |
| 1063937993 | Minkyeong Shin | Psychologist | 1815 Sw Marlow Ave Ste 218, Portland, OR 97225-5187 | 2017-08-11 |
| 1306387733 | Jennifer Foresman | Nurse Practitioner | 1815 Sw Marlow Ave Ste 218, Portland, OR 97225-5187 | 2017-03-18 |
| 1588107320 | Western Psychological and Counseling Services PC | Counselor | 1815 Sw Marlow Ave Ste 218, Portland, OR 97225-5187 | 2016-11-28 |
| 1851746796 | Heather A. Keizur | Marriage & Family Therapist | 1815 Sw Marlow Ave Ste 218, Portland, OR 97225-5187 | 2016-04-28 |
| 1972738227 | Scott Anthony | Social Worker | 1815 Sw Marlow Ave Ste 218, Portland, OR 97225-5187 | 2009-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| 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.