TIMOTHY HADDEN (NPI# 1235798372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235798372 |
| Entity Type | Individual |
| Full Name | TIMOTHY HADDEN |
| Practice Address |
400 Ne 7th St Gresham OR 97030-5604 |
| Mailing Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
| Practice Telephone | 5036615455 |
| Mailing Telephone | 5036453581 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639154461 | Timothy B Hadden | Internal Medicine | 1300 W Terrell, #500, Ft Worth, TX 76104 | 2005-12-14 |
| Street Address |
400 NE 7TH ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171323 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 400 Ne 7th St, Gresham, OR 97030-5604 | 2006-06-12 |
| 1356810493 | Simona Vazquez-sartori | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2018-11-19 |
| 1023540283 | Rachel Tolon | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-03-28 |
| 1831638592 | Mackenzie Rae Arrell | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-02-14 |
| 1366989519 | Sharon Simonds | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-01-26 |
| 1265977888 | Ian Z Schroeder | Counselor | 400 Ne 7th St, Gresham, OR 97030 | 2017-01-05 |
| 1851835326 | Ashley Turley | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-12-18 |
| 1649628645 | Kelly Snyder | Counselor | 400 Ne 7th St, Gresham, OR 97030 | 2016-05-31 |
| 1093160616 | Alyssa Wirthlin | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-05-02 |
| 1417302043 | Marissa Dotson | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215403449 | Catherine Jones Counseling LLC | Counselor | 320 N Main Ave Ste 201c, Gresham, OR 97030-7242 | 2018-10-15 |
| 1710423058 | Marcella Lee | Counselor | 1294 Nw Wonderview Dr, Gresham, OR 97030-4995 | 2017-01-10 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1346610680 | Juliet Chandler | Counselor | 24050 Se Stark St Apt 502, Gresham, OR 97030-3167 | 2015-09-29 |
| 1841540788 | Justin Hull | Counselor | 818 Ne Division St, Gresham, OR 97030-3951 | 2012-09-19 |
| 1962655407 | Erik Michael Rasmusson | Counselor | 912 Ne Kelly Ave, Gresham, OR 97030 | 2008-10-28 |
| 1053939207 | Kelsey Nolan | Counselor | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2020-07-13 |
| 1427517234 | Bethaney Clark | Counselor | 123 E Powell Blvd Ste 303, Gresham, OR 97030-7620 | 2019-03-19 |
| 1649737115 | Kayla Dawn Smith | Counselor | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2019-02-21 |
| 1356810493 | Simona Vazquez-sartori | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2018-11-19 |
| Find all providers in GRESHAM | ||||
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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.