Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356468045 Individual Practitioner Male Practitioner

Thomas K Johnson , LPC

Counselor - Professional • Portland, OR

Professional Overview & Biography Verified Profile Summary

Thomas Johnson, LPC is a registered healthcare professional specializing in Counselor - Professional in Portland, OR. Practice services are available at 1631 SW COLUMBIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1631 Sw Columbia St

Portland, OR 972016025

Telephone 5032312641
Fax 5032311654
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
753 Specialists

Practicing in Portland, OR (2601 Statewide)

Telehealth Adoption Rate
2.1% 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: 2022-06-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C3461

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500648624 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Donna Turquoise , QMHP-C

Counselor - Mental Health

NPI 1003103359

QMHPC

Amber Lewis , CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1003450248
Deanna Shields , CADC-R, CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1003592759

CADCR, CRM, PSS

Jessica Spain , CADC I, QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1013430271

CADCI, QMHAR

Tara Walker , QMHP, MS

Counselor - Mental Health

NPI 1013471549

Qualified Mental Health Professional, Master of Science

Nicole Williams , CADC II, QMHA-I

Counselor - Mental Health

NPI 1013560713

CADCII, QMHAI

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Counselor (License #C3461 in OR)

📍
Updated Practice Location January 28, 2019

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

NPI Profile Active April 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2017

Registered at 17645 NW SAINT HELENS RD, PORTLAND, OR 972311729 (Tel: 5036211069)

📍
Updated Business Mailing Address April 06, 2017

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 9713862278)

👤
Provider Name / Credentials Updated April 06, 2017

Recorded as THOMAS JOHNSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2017

Counselor (License #C3461 in OR)

NPI Profile Active August 07, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2012

Registered at 17645 NW SAINT HELENS RD, PORTLAND, OR 972311729 (Tel: 5036211069)

📍
Updated Business Mailing Address August 07, 2012

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

👤
Provider Name / Credentials Updated August 07, 2012

Recorded as THOMAS JOHNSON, MS, QMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2012

Counselor

🟢
Initial NPI Registration & Enumeration March 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356468045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: June 17, 2022
Sole Proprietor: No

Mailing Address

1776 Sw Madison St

Portland, OR 972051715

Phone: 9713862278

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.