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SECRET ANN JOHNSTON CADC I/CRM/PSS/QMHAR
NPI 1306517420
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since September 28, 2021
1631 SW COUMBIA ST, PORTLAND, OR 97201(503) 231-2641(503) 231-1654 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2023, Jul 3, 2023, Sep 28, 2021 (3 updates tracked since 2021).

About Secret Ann Johnston Cadc I/crm/pss/qmhar NPPES

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

SECRET ANN JOHNSTON CADC I/CRM/PSS/QMHAR (NPI 1306517420) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (23-01-10621) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1306517420
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSECRET ANN JOHNSTONCredential: CADC I/CRM/PSS/QMHAR
Location Address1631 SW COUMBIA STPortland, OR 97201
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 231-2641
Fax(503) 231-1654
Sole ProprietorNo
Enumeration DateSeptember 28, 2021
Last NPPES UpdateJuly 17, 20233 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1306517420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OR · 23-01-10621✔ Licensed in OR · 22-CRM-891
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 23-QMHA-R-3855 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000106531 (OR)
1631 SW COUMBIA ST, Portland, OR 97201
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Other Identifiers 1

Medicaid500813291OR

Other Providers at the Same Location NPPES

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

STEPHANIE LENORE CULPS CRM/PSS
Counselor (Addiction (Substance Use Disorder))
1631 SW COUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641

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 Secret Johnston's NPI number?

The NPI number for Secret Johnston is 1306517420. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Secret Johnston located?

Secret Johnston practices at 1631 SW Coumbia St, Portland, OR 97201. The listed phone number is (503) 231-2641.

What is Secret Johnston's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Secret Johnston was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.