DESHAWN JOHNSON
NPI 1710531207
Counselor - Mental Health in Portland, OR

Active since August 01, 2019
6647 SE MILWAUKIE AVE STE B210, PORTLAND, OR 97202(971) 258-2120 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2023, Aug 1, 2019 (2 updates tracked since 2019).

About Deshawn Johnson NPPES

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

DESHAWN JOHNSON (NPI 1710531207) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C7217) and active in the NPI registry since August 2019. He maintains a secondary practice location in Fremont.

NPPES Registry Identity

NPI1710531207
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDESHAWN JOHNSON
Location Address6647 SE MILWAUKIE AVE STE B210Portland, OR 97202-5661
Mailing Address6647 Se Milwaukie Ave Ste B210Portland, OR 97202-5661 · (971) 258-2120
Sole ProprietorNo
Enumeration DateAugust 1, 2019
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
NPI 1710531207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · C7217
6647 SE MILWAUKIE AVE STE B210, Portland, OR 97202

Secondary Practice Location 1

Location 139155 Liberty St Ste E500Fremont, CA 94538-1516 · Phone (510) 574-2183

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
6647 SE MILWAUKIE AVE STE B210
PORTLAND, OR 97202
Nurse Practitioner (Psychiatric/Mental Health)
6647 SE MILWAUKIE AVE STE B210
PORTLAND, OR 97202
Counselor (Mental Health)
6647 SE MILWAUKIE AVE STE B210
PORTLAND, OR 97202
Social Worker (Clinical)
6647 SE MILWAUKIE AVE STE B210
PORTLAND, OR 97202

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 Deshawn Johnson's NPI number?

The NPI number for Deshawn Johnson is 1710531207. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Deshawn Johnson located?

Deshawn Johnson practices at 6647 SE Milwaukie Ave Ste B210, Portland, OR 97202. The listed phone number is (971) 258-2120.

What is Deshawn Johnson's specialty?

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

What insurance does Deshawn Johnson accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Deshawn Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deshawn Johnson was last updated on January 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.