EMILY ANN JOHNSON QMHP-R
NPI 1104419621
Counselor - Mental Health in Gresham, OR

Active since February 16, 2021
620 NE 2ND ST, GRESHAM, OR 97030(971) 274-3757(503) 912-5740 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2024, Jan 26, 2023, Feb 16, 2021 (3 updates tracked since 2021).

About Emily Ann Johnson Qmhp-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY ANN JOHNSON QMHP-R (NPI 1104419621) is an individual mental health provider in Gresham, Oregon, licensed in Oregon (23-QMHP-R-2002) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1104419621
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMILY ANN JOHNSONCredential: QMHP-R
Location Address620 NE 2ND STGresham, OR 97030-7514
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Fax(503) 912-5740
Sole ProprietorNo
Enumeration DateFebruary 16, 2021
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1104419621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · 23-QMHP-R-2002
620 NE 2ND ST, Gresham, OR 97030

Other Identifiers 1

Medicaid500815250OR

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104419621, enumerated as an "individual" on February 16, 2021.

The provider is located at 620 NE 2ND ST GRESHAM, OR 97030 and the phone number is (971) 274-3757.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.