Lakeesha Dumas, PSS, PWS, CRM, YSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

15-CRM-014 Issued in OR

Practice address

3311 NE MLK Jr Blvd
Portland, OR 97212-2086

Phone

(503) 206-8856

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mind Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1356906788
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1073145777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NE SHAVER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121231",
            "telephone_number": "503-935-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 NE MLK JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122086",
            "telephone_number": "503-206-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "LAKEESHA",
        "credential": "PSS, PWS, CRM, YSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "15-CRM-014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION #",
            "identifier": "15-CRM-014",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D. Dulude, MD
• Marichu Duco Dumag, FNP - C
• Jessica Duman, PHARMD
• Aleksey V. Dumanovskiy, M.D.
• Briana Lee Dumas, MSW
• Ashline Dumer
• Irina Dumitrescu
• Mihaela Roxana Dumitro, PTA
• Rachel M Dummigan, FNP
• Luke Hans Dumyahn, DPT, PT

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.