KERI WOLSKY (NPI# 1205226974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205226974 |
| Entity Type | Individual |
| Full Name | KERI WOLSKY |
| Practice Address |
3716 Ne Martin Luther King Jr Blvd Portland OR 97212-1111 |
| Practice Telephone | 5032888066 |
| Practice Fax Number | 5032888168 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | THW0209 | OR | Other Service Providers |
| Street Address |
3716 NE MARTIN LUTHER KING JR BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720228182 | Thuylan N Huynh | Counselor | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2009-02-25 |
| 1003422692 | Grace Borowski | Counselor | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2020-09-18 |
| 1366092215 | Megan Elizabeth Gotiangco | Case Manager/Care Coordinator | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2019-09-12 |
| 1588139711 | Lindsay Rosenfeld | Counselor | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212 | 2018-10-03 |
| 1497272074 | Jamie Kay Fournier | Peer Specialist | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2017-08-24 |
| 1942649645 | Danielle Marie Matson | Case Manager/Care Coordinator | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2013-06-17 |
| 1821434317 | Kathryn Anne Clark | Counselor | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2013-05-11 |
| 1376801415 | Edgar Kam Shiroma II | Counselor | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2012-04-26 |
| 1548557937 | Elizabeth Bingham | Case Manager/Care Coordinator | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2011-07-06 |
| 1053608430 | Jennifer Smith | Case Manager/Care Coordinator | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2011-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| 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.