Active NPI
Casey Frances Bohannon, CADC III, QMHP , MS
- Addiction (Substance Use Disorder) Counselor
- Milwaukie, OR
National Provider Identifier
1518095553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11-03-69
- Practice address
- 6605 SE Lake Rd
Milwaukie, OR 97222-2161 - Phone
- (503) 655-8401
- Fax
- (503) 655-8429
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11-03-69 | OR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19-QMHPC-00309 | OR |
Addresses
Primary practice location
6605 SE Lake Rd
Milwaukie, OR 97222-2161
Mailing address
2600 SE Orient Dr Apt 9
Gresham, OR 97080-9086
Phone (503) 655-8401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-QMHPC-00309 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clackamas Office of County Auditor | Past | Accepting new patients | |
| Cascadia Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1144722935
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukie, OR
- NPI 1245269315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1518095553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 SE ORIENT DR APT 9",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970809086",
"telephone_number": "503-655-8401",
"fax_number": "503-655-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 SE LAKE RD",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972222161",
"telephone_number": "503-655-8401",
"fax_number": "503-655-8429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHANNON",
"first_name": "CASEY",
"middle_name": "FRANCES",
"credential": "CADC III, QMHP , MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "11-03-69",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "19-QMHPC-00309",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.