Mikki Proffitt, CADCI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADCI Issued in OR

Practice address

19595 SE Martin Rd
Sandy, OR 97055-8241

Phone

(541) 306-1254

NPI assigned

Jan 24, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1396375663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1825",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970231825",
            "telephone_number": "541-306-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19595 SE MARTIN RD",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558241",
            "telephone_number": "541-306-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "MIKKI",
        "credential": "CADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "CADCI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19595 SE Martin Rd",
            "city": "Sandy",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970558241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Pinn, M.D.
• Laura Kahl Placek, MS LPC CADCIII CMHC
• Oksana Polito, PHARMD
• Positive Touch Chiropractic PC
• Premere Rehab LLC
• Amena E. Quinlan, RN
• Emily Michelle Reese
• Roberta Meryl Rich, PA-C
• Christopher J Robb, LCSW
• Robert W Geister and Associates Inc

• Addiction (Substance Use Disorder) Counselor in Sandy, OR
• Providers in Sandy, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.