Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104419621 Individual Practitioner Female Practitioner

Emily Ann Johnson , QMHP-R

Counselor - Mental Health • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Emily Johnson, QMHP-R is a registered healthcare professional specializing in Counselor - Mental Health in Gresham, OR. Practice services are available at 620 NE 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620 Ne 2nd St

Gresham, OR 970307514

Telephone 9712743757
Fax 5039125740
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
181 Specialists

Practicing in Gresham, OR (15536 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-09
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License OR 23-QMHP-R-2002

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500815250 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kathy Litvin , CSWA, QMHP-C

Counselor - Mental Health

NPI 1003213737

CSWA, QMHPC

Elizabeth Valadez , CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1013765569
Christina Collier , QMHA-I

Counselor - Mental Health

NPI 1023570397

QMHAI

Jessica Trailer , QMHA-I

Counselor - Mental Health

NPI 1033758479

QMHAI

Danielle Curtis , CRM-II CADC-I QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1063209914

CRMIICADCIQMHAR

NPI 1073060083

CADCR, CSWA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
👤
Provider Name / Credentials Updated August 02, 2023

Recorded as EMILY JOHNSON, QMHP-R

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2023

Counselor (License #23-QMHP-R-2002 in OR)

📍
Updated Practice Location April 27, 2023

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

📍
Updated Practice Location January 26, 2023

Registered at 12360 E BURNSIDE ST, PORTLAND, OR 972331042 (Tel: 9712794800)

📍
Updated Business Mailing Address January 26, 2023

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤
Provider Name / Credentials Updated January 26, 2023

Recorded as EMILY JOHNSON, QMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2023

Counselor

NPI Profile Active February 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2021

Registered at 4371 W CASTLEBURY LN, FAYETTEVILLE, AR 727046607 (Tel: 4798713640)

📍
Updated Business Mailing Address February 16, 2021

Registered at 2009 PRICE AVE, LOWELL, AR 727458048 (Tel: 4792828493)

👤
Provider Name / Credentials Updated February 16, 2021

Recorded as EMILY JOHNSON, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2021

Counselor (License #A2102203 in AR)

🟢
Initial NPI Registration & Enumeration February 16, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104419621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2021
Last Update: September 09, 2024
Sole Proprietor: No

Mailing Address

1776 Sw Madison St

Portland, OR 972051715

Phone: 5032241044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.