JILL VIRGINIA POWELL (NPI# 1083768584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083768584 |
| Entity Type | Individual |
| Full Name | JILL VIRGINIA POWELL |
| Credential | QMHA |
| Practice Address |
412 Sw 12th Ave Portland OR 97205-2329 |
| Mailing Address |
4040 N Commercial Ave Portland OR 97227-1316 |
| Practice Telephone | 5032287134 |
| Practice Fax Number | 5032738431 |
| Mailing Telephone | 5032287134 |
| Mailing Fax Number | 5032738431 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003925942 | Jill Powell | Nurse Practitioner | 3715 Sutherland Ave, Knoxville, TN 37919-4338 | 2006-08-30 |
| 1235661125 | Jill Powell | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2017-03-30 |
| 1205168150 | Jill C Powell | Physician Assistant | 760 Wicks Ln, Billings, MT 59105-4427 | 2010-02-03 |
| 1295876449 | Jill Diane Powell | Family Medicine | 501 Highland Ave, Williamstown, WV 26187-1615 | 2007-02-09 |
| 1932134053 | Jill K Powell | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2006-07-11 |
| 1699746149 | Jill L Powell | Physician Assistant | 2700 E 30th Ave, Hutchinson, KS 67502-1242 | 2006-01-31 |
| Street Address |
412 SW 12TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457308587 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2006-05-26 |
| 1699045278 | Robin Robberson | Counselor | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2012-01-12 |
| 1639449200 | Megan T Ednoff | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2012-01-12 |
| 1639446990 | Pamela Njideka Ogbeama | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-11-30 |
| 1689950362 | Amy Hart | Case Manager/Care Coordinator | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-26 |
| 1639454747 | Elsa Renthal | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-20 |
| 1770868093 | Julie Baer | Counselor | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-18 |
| 1467735233 | Robert Richardson | Community Health Worker | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-27 |
| 1386927150 | Cathy Kennedy | Community Health Worker | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-27 |
| 1174806574 | Darrah A Buitron | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| 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 |
| 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.