1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Case Manager Care Coordinator
  6. NPI Profile

MRS. LISA MARIE NICHOLS QMHA
NPI 1821134016
Case Manager/Care Coordinator in Portland, OR

Active since January 29, 2007
412 SW 12TH AVE, PORTLAND, OR 97205(503) 552-5105 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lisa Marie Nichols Qmha NPPES

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

MRS. LISA MARIE NICHOLS QMHA (NPI 1821134016) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1821134016
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMRS. LISA MARIE NICHOLSCredential: QMHA
Location Address412 SW 12TH AVEPortland, OR 97205-2329
Mailing Address7028 N Mobile AvePortland, OR 97217-5744 · (503) 552-5105
Phone(503) 552-5105
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821134016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
412 SW 12TH AVE, Portland, OR 97205
Open in Google Maps ↗

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.

MR. GREGORY S BELL QMHA
Case Manager/Care Coordinator
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MR. JAMIE H GLEASON
Counselor (Mental Health)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MS. ELIZABETH SCHEELER KIMBERLY
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MR. RODERICK J ROBINSON QMHA
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
JAMES M. WRIGHT QMHA
Case Manager/Care Coordinator
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 516-2048
DONALD BENJAMIN KUNZER BA
Adult Companion
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
ANNALISA COUTURIER
Counselor (Addiction (Substance Use Disorder))
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MS. FRANNY RACHEL THOMPSON QMHP, MSW
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 552-0769

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 Lisa Nichols's NPI number?

The NPI number for Lisa Nichols is 1821134016. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Lisa Nichols located?

Lisa Nichols practices at 412 SW 12th Ave, Portland, OR 97205. The listed phone number is (503) 552-5105.

What is Lisa Nichols's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Lisa Nichols was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.