Carolyn R Njoki

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Practice address

8940 SE Clinton St
Portland, OR 97266-1436

Phone

(774) 386-4372

NPI assigned

May 27, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Divine Residential Treatment Home LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Portland, OR
  • NPI 1215856745
  NPD (past) Authorized official

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1104619758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 SE CLINTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661436",
            "telephone_number": "774-386-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 SE CLINTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661436",
            "telephone_number": "774-386-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOKI",
        "first_name": "CAROLYN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy C Nixon, LCSW
• Ross Nixon
• Mahtab Niyyati
• John Njenga, PA, MS, MHS, MPH
• David Mwaniki Njeru
• Ndidi Njoku, MD
• Stephen Njoroge, M.D.
• Honorine Ngem Akeh Nkambi
• Ndem Nkem
• Yolanda Nebinsem Nkola, FNP-BC

• Mental Illness Community Based Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.