Jacquelyn L Johnson , CADC II, QMHA-II
Counselor - Addiction (Substance Use Disorder) β’ Gresham, OR
620 Ne 2nd St
Gresham, OR 970307514
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
620 Ne 2nd St
Gresham, OR 970307514
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Counselor - Addiction (Substance Use Disorder): NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Gresham and Oregon
81 active clinicians are listed under Counselor - Addiction (Substance Use Disorder) with a practice address in Gresham, OR (4,040 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gresham
0% of these 81 clinicians have the CMS telehealth indicator.
0% of these 81 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-03-11NUCC Taxonomy Code: 101YA0400X
NUCC Taxonomy Code: 101YM0800X
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as JACQUELYN JOHNSON, CADC II/QMHA-II
Counselor (license number reported to NPPES: OR 24-QMHA-II-000217)
Recorded as JACQUELYN JOHNSON, CADC II/QMHA-I
Counselor (license number reported to NPPES: OR 20-QMHA-I-03070)
Recorded as JACQUELYN JOHNSON, CADC I/QMHA-I
Recorded as JACQUELYN JOHNSON, CADC-R/QMHA-I
Counselor (license number reported to NPPES: OR T-20-305)
NPI status registered as active in NPPES database
Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)
Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)
Recorded as JACQUELYN JOHNSON, QMHA-I
Counselor (license number reported to NPPES: OR 20-QMHA-I-03070)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
1776 Sw Madison St
Portland, OR 972051715
Phone: 5032241044