MS. DESTINY MARIE BANKHEAD (NPI# 1114273471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114273471 |
| Entity Type | Individual |
| Full Name | MS. DESTINY MARIE BANKHEAD |
| Credential | MS, LPSC |
| Practice Address |
10011 Se Division St Suite # 305 Portland OR 97266-1351 |
| Mailing Address |
3500 Se Oak Grove Blvd Apt 27 Milwaukie OR 97267-1474 |
| Practice Telephone | 5033355975 |
| Practice Fax Number | 5033355974 |
| Mailing Telephone | 5039353226 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
10011 SE DIVISION ST SUITE # 305 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578678983 | Jerry Wayne Leonard Sr. | Dentist | 10011 Se Division St, 204, Portland, OR 97266-1351 | 2006-08-19 |
| 1811342710 | Kristen S Miller | Psychologist | 10011 Se Division St, #203, Portland, OR 97266-1351 | 2016-04-28 |
| 1760837801 | Maria Mitchell | Counselor | 10011 Se Division St, #305, Portland, OR 97266-1351 | 2016-04-26 |
| 1659725620 | Carson Bortz | Counselor | 10011 Se Division St, #305, Portland, OR 97266-1351 | 2016-04-15 |
| 1659748507 | Heather Anne Tollander | Psychologist | 10011 Se Division St, Suite 203, Portland, OR 97266-1351 | 2015-08-26 |
| 1457727828 | Matthew M Block | Counselor | 10011 Se Division St, Suite 203, Portland, OR 97266-1351 | 2015-08-19 |
| 1720454689 | Tess O'neil Mcshane | Counselor | 10011 Se Division St, Suite #305, Portland, OR 97266-1351 | 2015-08-14 |
| 1699159293 | Elizabeth Kraemer | Case Manager/Care Coordinator | 10011 Se Division St, Portland, OR 97266-1351 | 2015-07-13 |
| 1003294323 | Elizabeth Gordon | Counselor | 10011 Se Division St, Ste 305, Portland, OR 97266-1351 | 2015-05-07 |
| 1356746101 | Mirna Pani | Counselor | 10011 Se Division St, #305, Portland, OR 97266-1351 | 2014-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| 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.