TERESA LECKRON-MYERS (NPI# 1891186508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891186508 |
| Entity Type | Individual |
| Full Name | TERESA LECKRON-MYERS |
| Credential | CADC I, QMHA, CRM |
| Practice Address |
7916 Se Foster Rd Portland OR 97206 |
| Mailing Address |
7916 Se Foster Rd Portland OR 97206-4289 |
| Practice Telephone | 5033848656 |
| Practice Fax Number | 5032082596 |
| Mailing Telephone | 5033848656 |
| Mailing Fax Number | 5032082596 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
7916 SE FOSTER RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131633 | Brianne Morgan | Counselor | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2020-10-16 |
| 1720604911 | Larry Dean Beckner | Peer Specialist | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2020-06-23 |
| 1265058457 | Chris Lex | Peer Specialist | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2020-06-23 |
| 1508482787 | Aaron Bibens | Peer Specialist | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2020-06-23 |
| 1730705922 | Noelle Roehr | Peer Specialist | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2020-06-23 |
| 1821554056 | Audrey Mohonna Stanfield | Counselor | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2019-02-12 |
| 1932674157 | Meghan Leanne Maguire | Counselor | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2018-10-04 |
| 1740778521 | Jolena Mae Mallory | Peer Specialist | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2018-04-26 |
| 1447756515 | Catherine Elaine Van Valkenburgh | Counselor | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2018-04-05 |
| 1720530264 | Daniel Telgarsky | Peer Specialist | 7916 Se Foster Rd, Portland, OR 97206-4289 | 2016-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| 1063774990 | Molly A Norris | Massage Therapist | 6217 Se Harold St, Portland, OR 97206 | 2012-06-15 |
| Find all providers in zip 97206 | ||||
| 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 |
|---|---|---|---|---|
| 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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| 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.