LA'KIM DENISE JOHNSON (NPI# 1629543558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629543558 |
Entity Type | Individual |
Full Name | LA'KIM DENISE JOHNSON |
Practice Address |
15544 S Clackamas River Dr Oregon City OR 97045-9490 |
Practice Telephone | 5036752219 |
Enumeration Date | 2018-10-08 |
Last Update Date | 2018-10-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
15544 S CLACKAMAS RIVER DR |
City | OREGON CITY |
State | OR |
Zip Code | 97045-9490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710241898 | Melanie A Wyckoff | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2012-07-03 |
1275165615 | Justin Wilson | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2020-02-04 |
1073010872 | Michelle Debelis | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2018-04-09 |
1194236463 | Catherine Elizabeth Weiland | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-10-13 |
1841700366 | Kelli Grace Knudsen | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-10-11 |
1326558776 | Madelyn Smith | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-10-11 |
1528508868 | Andalusia Cappellano | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-03-06 |
1982143731 | Spencer Carroll Dowd | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-02-13 |
1619413036 | Nathaly Pretell | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-01-09 |
1790220374 | Tyler Krzyzaniak | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-01-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
Find all providers in zip 97045 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487101762 | The Hart Center | Community/Behavioral Health | 501 Pleasant Ave, Ste 4h, Oregon City, OR 97045-2637 | 2016-09-05 |
1467836817 | A Village for One | Community/Behavioral Health | 110 Wamer Milne Rd, Oregon City, OR 97045 | 2015-07-16 |
1104253079 | Parrott Creek Child & Family Services | Community/Behavioral Health | 22518 S Parrot Creek Rd, Oregon City, OR 97045-9725 | 2013-10-08 |
1417498395 | Drum Counseling, LLC | Community/Behavioral Health | 714b Main St, Suite 202, Oregon City, OR 97045-1821 | 2017-03-13 |
1427416452 | Clackamas Women's Services | Community/Behavioral Health | 256 Warner Milne Rd, Oregon City, OR 97045-4014 | 2016-02-04 |
1366827438 | New Beginnings Counseling Services LLC | Community/Behavioral Health | 419 Center St, Oregon City, OR 97045-2211 | 2015-07-29 |
1568858363 | Evergreen Mountains Therapy and Consulting, LLC. | Community/Behavioral Health | 309 17th St, Oregon City, OR 97045-1032 | 2015-04-08 |
1851437545 | Clackamas County | Community/Behavioral Health | 2051 Kaen Rd, Suite 367, Oregon City, OR 97045-4035 | 2007-01-29 |
1245269315 | Clackamas County | Community/Behavioral Health | 998 Library Ct, Oregon City, OR 97045-4041 | 2006-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607464 | Rogue Therapy | Community/Behavioral Health | 328 S Central Ave Ste 213, Medford, OR 97501-7274 | 2020-10-24 |
1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
1598375990 | Inspire Wellness Counseling | Community/Behavioral Health | 535 River St, Cave Junction, OR 97523-1170 | 2020-07-31 |
1184247850 | Altoris Behavior Support LLC | Community/Behavioral Health | 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 | 2020-05-28 |
1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
1548889272 | Nami of Washington County | Community/Behavioral Health | 18680 Sw Shaw St, Aloha, OR 97078-1250 | 2020-04-13 |
1689203515 | New Summit Behavioral Therapy, LLC | Community/Behavioral Health | 1056 Green Acres Rd # 102-360, Eugene, OR 97408-1505 | 2020-04-02 |
1033749825 | Erica D. Prince, Phd, LLC | Community/Behavioral Health | 2945 Nw Mulkey Ave, Corvallis, OR 97330-1836 | 2020-01-21 |
1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
1154969772 | Columbia Community Mental Health | Community/Behavioral Health | 58581 Columbia River Hwy, Saint Helens, OR 97051-3225 | 2019-12-13 |
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City | OREGON CITY |
Zip Code | 97045 |
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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.