CARISSA ELOISE BAKKER (NPI# 1487968871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487968871 |
| Entity Type | Individual |
| Full Name | CARISSA ELOISE BAKKER |
| Credential | MA |
| Practice Address |
4585 Sw 185th Ave Aloha OR 97007-1557 |
| Practice Telephone | 5037589863 |
| Practice Fax Number | 5038482072 |
| Mailing Telephone | 5037589863 |
| Mailing Fax Number | 5038482072 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4585 SW 185TH AVE |
| City | ALOHA |
| State | OR |
| Zip Code | 97007-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167982 | Sequoia Mental Health Services Inc | Community Based Residential Treatment Facility, Mental Illness | 4585 Sw 185th Ave, Aloha, OR 97007-1557 | 2006-01-06 |
| 1649888462 | Hailey Coleman | Social Worker | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-07-17 |
| 1598381857 | Ashley Marie Miller | Social Worker | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-06-23 |
| 1235751413 | Lynne Gallagher Nanson | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-05-11 |
| 1518589795 | Heather Elizabeth Carey | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-05-11 |
| 1376170399 | Alena Masumi Berkman | Peer Specialist | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-27 |
| 1144855198 | Erika Graves | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-10 |
| 1427683168 | Aaron Lee Moore | Peer Specialist | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-03 |
| 1790323350 | Jonathan Clarke | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-12-13 |
| 1659928935 | Conner Alexander Gremillion | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| 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 |
|---|---|---|---|---|
| 1710512736 | Dominic Townsend | Case Manager/Care Coordinator | 18715 Sw Blanton St, Aloha, OR 97078-1234 | 2020-03-10 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1932520947 | Alicia Lopez | Case Manager/Care Coordinator | 6435 Sw Skiver Ct, Aloha, OR 97007-4223 | 2013-12-17 |
| 1992994453 | Lester Lewis | Case Manager/Care Coordinator | 17685 Sw Butternut Dr, Aloha, OR 97007-3930 | 2007-10-22 |
| 1144855198 | Erika Graves | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-10 |
| 1659928935 | Conner Alexander Gremillion | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-08-21 |
| 1205482940 | Jeremiah B Baker | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-08-16 |
| 1528614393 | Cheryl Ann Newman | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-08-16 |
| 1184181422 | Tamara Brown | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-02-22 |
| 1558825471 | Leah P Farris | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-01-24 |
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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.