Individual provider Active NPI

Johnni Jo Cansler, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1144709403
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10002824 Issued in OR
Practice address
4225 SW Huber St Ste 300
Portland, OR 97219-6140
Phone
(931) 494-0456
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coos County Oregon 6 clinicians

Practice addresses (Care Compare)

281 Laclair St
Coos Bay, OR 97420-2988
Phone (541) 266-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903001019 OR Practitioner - Nurse Practitioner 6204263015 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10002824ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divurgent Solutions, LLC Psychiatric/Mental Health CurrentSince Aug 3, 2025 Accepting new patients
Therapeutic Medical Weight Loss, LLC Psychiatric/Mental Health CurrentSince Feb 1, 2022 Accepting new patients

Locations

308 W 15th St
Hopkinsville, KY 42240
Phone (270) 660-8866

4225 SW Huber St
Ste 300
Portland, OR 97219
Phone (503) 893-2307

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3014202 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10002824 OR Primary

Addresses

Primary practice location

4225 SW Huber St Ste 300
Portland, OR 97219-6140

Mailing address

4225 SW Huber St Ste 300
Portland, OR 97219-6140
Phone (931) 494-0456

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1144709403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 SW HUBER ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196140",
            "telephone_number": "931-494-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 SW HUBER ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196140",
            "telephone_number": "931-494-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANSLER",
        "first_name": "JOHNNI",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3014202",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10002824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.