ANDERS AMADEUS KASS (NPI# 1013541911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013541911 |
| Entity Type | Individual |
| Full Name | ANDERS AMADEUS KASS |
| Credential | THW YPSS |
| Practice Address |
209 Sw 4th Ave Ste 520 Portland OR 97204-1825 |
| Practice Telephone | 5039885464 |
| Practice Fax Number | 5039884015 |
| Mailing Telephone | 5039885464 |
| Mailing Fax Number | 5039884015 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | THW000003447 | OR | Other Service Providers |
| Street Address |
209 SW 4TH AVE STE 520 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538237904 | Multnomah County | Clinic/Center | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1813 | 2006-12-01 |
| 1770121188 | Penelope Lynne Jones | Student in an Organized Health Care Education/Training Program | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-12-16 |
| 1376190140 | Bruce Michael Spilde | Social Worker | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-08-26 |
| 1518526961 | Amanda Kubisch | Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-06-10 |
| 1275097552 | Dekaira D Smith | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-01-30 |
| 1417435488 | Noura Al-khadher | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2018-08-01 |
| 1669903944 | Glenda Quezada | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2017-03-27 |
| 1720419054 | Multnomah County | Community/Behavioral Health | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1813 | 2013-12-12 |
| 1538427257 | Braunwynn Franklin | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2012-05-01 |
| 1285992628 | Rachael Alexis Jackson | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1245896307 | Anthony James Hardy | Peer Specialist | 10336 Ne Wygant St, Portland, OR 97220-3368 | 2019-05-14 |
| 1881155596 | Laray Jermaine Thomas | Peer Specialist | 11509 Se Stephens St, Portland, OR 97216-3660 | 2019-03-26 |
| 1932684248 | Dorothy Joanna Burton | Peer Specialist | 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 | 2018-10-02 |
| 1750886255 | Steven Wade | Peer Specialist | 4512 Ne Portland Hwy, Portland, OR 97218-1363 | 2018-03-27 |
| 1669991212 | Kimberly Jaye Randall | Peer Specialist | 17214 Se Division St Ste 2, Portland, OR 97236-1282 | 2017-09-14 |
| 1689103897 | Walter Bulter | Peer Specialist | 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 | 2017-06-09 |
| 1306373543 | Brenda Kay Mitchell | Peer Specialist | 10373 Ne Hancock St Ste 132, Portland, OR 97220-3873 | 2017-05-18 |
| 1760914493 | Changing Perceptions | Peer Specialist | 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 | 2017-03-31 |
| 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.