JESSICA L GONCALVES (NPI# 1841822335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841822335 |
| Entity Type | Individual |
| Full Name | JESSICA L GONCALVES |
| Practice Address |
13942 Ne Glisan St Portland OR 97230-3350 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 9713027990 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591193 | Jessica Goncalves | Student in an Organized Health Care Education/Training Program | 55 Guinness Way, Hopewell Junction, NY 12533-3323 | 2019-04-26 |
| 1477971240 | Jessica Goncalves | Counselor | 118 Wagner St, Edison, NJ 08837-2823 | 2014-03-31 |
| 1174071120 | Jessica Goncalves | Speech-Language Pathologist | 1269 Main St, Concord, MA 01742-3099 | 2016-09-20 |
| 1265719058 | Jessica Goncalves | Physical Therapist | 535 Centerville Rd, Suite 101, Warwick, RI 02886-4486 | 2011-11-08 |
| Street Address |
13942 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265774459 | Christine Arrington | Adult Companion | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2013-03-26 |
| 1841899275 | Bridgett J Palmer | Technician | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2020-10-16 |
| 1346865003 | Ryan J Goldberg | Case Manager/Care Coordinator | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2020-06-09 |
| 1689293326 | Amanda Elisabeth Biggs | Case Manager/Care Coordinator | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2020-04-13 |
| 1447664602 | Eluid Newsome | Adult Companion | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2014-06-16 |
| 1295174126 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2013-06-25 |
| 1437595162 | Johnathan Chungtae Lee | Community Health Worker | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2013-05-21 |
| 1669816641 | Daniel Ryan Shor | Adult Companion | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2013-04-22 |
| 1073957056 | Jasper Dawn Evans | Adult Companion | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2013-04-22 |
| 1912249111 | Hana Lurie | Adult Companion | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2013-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775558 | John Alan Varner | Case Manager/Care Coordinator | 5833 N Lombard St, Portland, OR 97203-4115 | 2020-06-24 |
| 1750906228 | Dwell Care LLC. | Case Manager/Care Coordinator | 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 | 2020-06-10 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102077 | Joslyn Bailey Gheen | Case Manager/Care Coordinator | 1032 Sw Main St, Portland, OR 97205-2407 | 2019-09-05 |
| 1497311773 | Ali Tareq Ashour | Case Manager/Care Coordinator | 980 Forest Ave Ste 106, Portland, ME 04103-3357 | 2019-05-13 |
| 1427540202 | Amber Tracy Ware | Case Manager/Care Coordinator | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2018-06-06 |
| 1710479209 | Katherine Anne Kerr | Case Manager/Care Coordinator | 4307 Ne 102nd Ave, Portland, OR 97220-3439 | 2018-05-31 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1083137459 | David Sague | Case Manager/Care Coordinator | 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 | 2017-07-18 |
| 1538601885 | Gabriela Simone Sargent | Case Manager/Care Coordinator | 4109 Se 113th Ave, Portland, OR 97266-2226 | 2016-11-16 |
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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.