Alicia Palmer, CADC 1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

190528 Issued in OR

Practice address

16420 SE Division St
Portland, OR 97236-1987

Phone

(503) 762-3100

Fax

(503) 762-3199

NPI assigned

Jan 24, 2020

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metro Treatment of Florida, LP

  dba West Palm Beach Treatment Center

  • Methadone Clinic
  • Lake Clarke Shores, FL
  • NPI 1043090384
  NPD

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": "1558991992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAITLAND CENTER PKWY",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517224",
            "telephone_number": "407-351-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16420 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361987",
            "telephone_number": "503-762-3100",
            "fax_number": "503-762-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ALICIA",
        "credential": "CADC 1",
        "sole_proprietor": "NO",
        "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": "190528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Pallister, BSN, RN, CCM, CNLCP
• Cameron D Palm
• Morgan Christine Palm
• Kimberlin Ruth Palmer-Nicks, LMT
• Aaron Palmer
• Alina L Palmer, CNM
• Andrew D Palmer, MS, CCC-SLP
• Bridgett J Palmer, QMHA-R
• Catherine Palmer, MS, MFT, NCC, LPC
• Dale Duane Palmer, CRM AND PSS

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, 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.