Joshua Kenji Raoul Hellstrom, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10022053 Issued in OR

Practice address

44882 Mission Rd
Pendleton, OR 97801-9293

Phone

(541) 429-0550

NPI assigned

Feb 16, 2024

Sex

Male

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

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Les Is More Mental Health, LLCGroup PAC ID 1759791684, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Les Is More Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pendleton, OR
  • NPI 1295369841

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1235994401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 SCOTT LN",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970271543",
            "telephone_number": "503-913-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44882 MISSION RD",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019293",
            "telephone_number": "541-429-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17700 Scott Ln",
            "address_purpose": "LOCATION",
            "city": "Gladstone",
            "state": "OR",
            "postal_code": "970271543",
            "country_code": "US",
            "telephone_number": "503-913-5629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLSTROM",
        "first_name": "JOSHUA",
        "middle_name": "KENJI RAOUL",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10022053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy D. Hayes, CADCII
• Mystie Amber Haynie
• Tina M Haynie, CMA
• Albert S Hearne
• Kalean Heath, QMHP
• Helping Kneads Therapeutic Massage
• Jenee Sue Henderson, B.A., B.S.,
• Aimee Herbert, THW
• Arthur Scott Herman, D.M.D.
• David L Hernandez, DDS

• Psychiatric/Mental Health Nurse Practitioner in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.