Fayanna Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7709 Issued in OR

Practice address

10615 SE Cherry Blossom Dr Ste 250
Portland, OR 97216-3103

Phone

(971) 373-4041

NPI assigned

May 17, 2016

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

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.

• Anchor Within Counseling

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1669978193

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1356798615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 440",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204986",
            "telephone_number": "971-373-4041",
            "fax_number": "971-373-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 SE CHERRY BLOSSOM DR STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163103",
            "telephone_number": "971-373-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8383 NE Sandy Blvd Ste 110B",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972204967",
            "country_code": "US",
            "telephone_number": "971-373-4085",
            "fax_number": "971-373-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FAYANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Merrill Johnson, CRNA
• Eric Mitchell Johnson, PH.D.
• Eva Jean Johnson
• Evan Rian Johnson
• Farland Ide Johnson, LMT
• Faye C. Johnson, M.D.
• Frederick Farman Johnson III, L.M.T.
• Gabrielle Johnson, PA-C, ATC
• Gayle Johnson
• General Courtney Johnson

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.