JAMES JOHN HEIDRICK (NPI# 1568509677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568509677 |
| Entity Type | Individual |
| Full Name | JAMES JOHN HEIDRICK |
| Credential | QMHA |
| Practice Address |
131 Ne 102nd Ave Portland OR 97220-4167 |
| Practice Telephone | 5032536754 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376680595 | James Heidrick | Counselor | 2808 Se Balfour St, Milwaukie, OR 97222-6426 | 2007-01-30 |
| Street Address |
131 NE 102ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366464570 | Jeffery Franklin Foster | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2006-07-24 |
| 1265657159 | Amy Ruth | Psychiatry & Neurology | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-04-16 |
| 1679610018 | Susan Mawdesley Haines | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-02-01 |
| 1881731750 | Deborah Jeanne Wright | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-31 |
| 1245376730 | Carmen Tara Corbin II | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-30 |
| 1184760019 | Carol A Schmidt | Case Manager/Care Coordinator | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-29 |
| 1023154846 | Brooke Ann Sheehan | Nurse Practitioner | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-29 |
| 1801940325 | Jerray Anthony Brannon | Case Manager/Care Coordinator | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-22 |
| 1861544033 | Stacy Lynn Riser | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-17 |
| 1104912872 | Diane K Rose | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| 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.