AUTUMN LILLIE


Address: 1776 Sw Madison St, Portland, OR 97205-1715
Phone: 5032241044

AUTUMN LILLIE (NPI# 1265812465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265812465
Entity Type Individual
Full Name AUTUMN LILLIE
Practice Address 1776 Sw Madison St
Portland
OR 97205-1715
Practice Telephone 5032241044
Practice Fax Number 5032311654
Mailing Telephone 5032241044
Mailing Fax Number 5032311654
Enumeration Date 2015-06-02
Last Update Date 2015-06-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1776 SW MADISON ST
City PORTLAND
State OR
Zip Code 97205-1715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144219114 Susan Sherwood Social Worker 1776 Sw Madison St, Portland, OR 97205-1715 2005-10-20
1598296204 Kristin L Gunn Counselor 1776 Sw Madison St, Portland, OR 97205-1715 2017-03-23
1659814143 Lena T Monteverdi Counselor 1776 Sw Madison St, Portland, OR 97205-1715 2016-12-01
1154770642 Hailey M Bailey Counselor 1776 Sw Madison St, Portland, OR 97205-1715 2016-06-06
1447606314 Felicea Mora Counselor 1776 Sw Madison St, Portland, OR 97205-1715 2016-05-10
1417302969 Roger Croteau Registered Nurse 1776 Sw Madison St, Portland, OR 97205-1715 2016-05-03
1841645520 Zachary L Ash Counselor 1776 Sw Madison St, Portland, OR 97205-1715 2016-04-29
1659744001 Pearl Vanessa Rose Esquivel Counselor 1776 Sw Madison St, Portland, OR 97205-1715 2015-11-06
1164806238 Heather Pistory Counselor 1776 Sw Madison St, Portland, OR 97205-1715 2015-07-17
1811388218 Shawn Langford Counselor 1776 Sw Madison St, Portland, Portland, OR 97205-1715 2015-02-07
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City PORTLAND
Zip Code 97205

Improve Information

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Dataset Information

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.

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