ZECHARIAH JOHNSON-BANIK PSS, QMHA-R
NPI 1386477099
Peer Specialist in Portland, OR

Active since August 20, 2024
12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2024, Aug 20, 2024 (2 updates tracked since 2024).

About Zechariah Johnson-banik Pss, Qmha-r NPPES

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

ZECHARIAH JOHNSON-BANIK PSS, QMHA-R (NPI 1386477099) is an individual peer specialist in Portland, Oregon and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1386477099
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameZECHARIAH JOHNSON-BANIKCredential: PSS, QMHA-R
Location Address12360 E BURNSIDE STPortland, OR 97233-1042
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044
Fax(971) 279-2051
Sole ProprietorNo
Enumeration DateAugust 20, 2024
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
NPI 1386477099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 24-QMHA-R-6024 (OR)
12360 E BURNSIDE ST, Portland, OR 97233

Other Names 1

Professional Name (2)John Zachary Yelnosky Pss

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
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Peer Specialist
12360 E BURNSIDE ST
PORTLAND, OR 97233
Clinic/Center (Federally Qualified Health Center (FQHC))
12360 E BURNSIDE ST
PORTLAND, OR 97233
Social Worker
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Social Worker (Clinical)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Counselor (Mental Health)
12360 E BURNSIDE ST
PORTLAND, OR 97233

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 Zechariah Johnson-banik's NPI number?

The NPI number for Zechariah Johnson-banik is 1386477099. It was assigned to this individual provider in the NPPES registry on August 20, 2024. The provider is also known as John Zachary Yelnosky Pss.

Where is Zechariah Johnson-banik located?

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

What is Zechariah Johnson-banik's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Zechariah Johnson-banik was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.