Jack Eugene Johnson , CADC II, QMHP-C, CSWA
Counselor - Addiction (Substance Use Disorder) • Gresham, OR
Professional Overview & Biography Verified Profile Summary
Jack Johnson, CADC II, QMHP-C, CSWA is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Gresham, OR. Practice services are available at 355 NW DIVISION ST under active NPI credentials.
Practice Location & Contact Primary Location
355 Nw Division St
Gresham, OR 970305523
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Gresham, OR
Practicing in Gresham, OR (4216 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-08-03NUCC Taxonomy Code: 101YA0400X
Definition to come...
NUCC Taxonomy Code: 1041C0700X
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
NUCC Taxonomy Code: 101YM0800X
Definition to come...
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
QMHPC
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
CADCR, CRM, PSS
Counselor - Addiction (Substance Use Disorder)
CADCI, QMHAR
Counselor - Mental Health
Qualified Mental Health Professional, Master of Science
Counselor - Mental Health
CADCII, QMHAI
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Recorded as JACK JOHNSON, CADC II/QMHP-C, CSWA
Counselor (License #00-11-45 in OR)
Registered at 355 NW DIVISION ST, GRESHAM, OR 970305523 (Tel: 5032312641)
Recorded as JACKIE JOHNSON, CADC II/QMHP-C, CSWA
Counselor (License #17-CRM-078 in OR)
Registered at 1631 SW COUMBIA ST, PORTLAND, OR 97201 (Tel: 5032312641)
Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)
Recorded as JACKIE JOHNSON, CADC II/QMHP-R
Counselor (License #21-QMHP-R-0965 in OR)
NPI status registered as active in NPPES database
Registered at 1020 SW TAYLOR ST STE 650, PORTLAND, OR 972052506 (Tel: 5033453370)
Registered at 1020 SW TAYLOR ST STE 650, PORTLAND, OR 972052506 (Tel: 5033453370)
Recorded as JACKIE JOHNSON, MSW, CADC II
Counselor (License #00-11-45 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1776 Sw Madison St
Portland, OR 972051715
Phone: 5032241044
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