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NIDAL JIANNI QMHA-R
NPI 1225704760
Counselor - Mental Health in Portland, OR

Active since August 16, 2021
12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2022, Aug 16, 2021 (2 updates tracked since 2021).

About Nidal Jianni Qmha-r NPPES

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

NIDAL JIANNI QMHA-R (NPI 1225704760) is an individual mental health provider in Portland, Oregon, licensed in Oregon (21-QMHA-R-1903) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1225704760
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNIDAL JIANNICredential: QMHA-R
Location Address12360 E BURNSIDE STPortland, OR 97233-1042
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(971) 279-4800
Fax(971) 279-2051
Sole ProprietorNo
Enumeration DateAugust 16, 2021
Last NPPES UpdateMay 27, 20222 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1225704760 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 · 21-QMHA-R-1903
12360 E BURNSIDE ST, Portland, OR 97233
Open in Google Maps ↗

Other Identifiers 1

Medicaid500797090OR

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.

ANGEL T HIRSCH PCA/QMHP-C
Counselor
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
CHRISTA R ANDREASEN RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
THURSDAY CHARBONEAU PSS
Peer Specialist
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
JACQUELINE FAYE RICHLAND CSWA
Social Worker
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
VALERIE D CHAMBERS RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
ELIZABETH MORGAN BRADSHAW LCSW
Social Worker (Clinical)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 278-9480
REBEKAH L TRAVIS QMHA
Counselor (Mental Health)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nidal Jianni's NPI number?

The NPI number for Nidal Jianni is 1225704760. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Nidal Jianni located?

Nidal Jianni practices at 12360 E Burnside St, Portland, OR 97233. The listed phone number is (971) 279-4800.

What is Nidal Jianni's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nidal Jianni was last updated on May 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.