Active NPI
Emily Johnson
- Case Manager/Care Coordinator
- Hillsboro, OR
National Provider Identifier
1598118283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 205 SE 3Rd Ave Ste 100
Hillsboro, OR 97123-4087 - Phone
- (503) 535-1150
- Fax
- (503) 693-6474
- NPI assigned
- Jul 18, 2016
- Last updated
- Apr 6, 2023
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Doula | 374J00000X |
Addresses
Primary practice location
205 SE 3Rd Ave Ste 100
Hillsboro, OR 97123-4087
Mailing address
12295 NW Big Fir Cir
Portland, OR 97229-3903
Phone (503) 431-1442
Other practice location 1
10230 SE Cherry Blossom Dr
Portland, OR 97216-2821
Phone (503) 713-9155
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fora Health Inc. | Past | Accepting new patients | |
| Fora Health Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fora Health Treatment and Recovery
- Substance Abuse Rehabilitation Facility
- Portland, OR
- NPI 1033968193
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1245378546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1598118283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12295 NW BIG FIR CIR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972293903",
"telephone_number": "503-431-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SE 3RD AVE STE 100",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234087",
"telephone_number": "503-535-1150",
"fax_number": "503-693-6474"
}
],
"practiceLocations": [
{
"address_1": "10230 SE Cherry Blossom Dr",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972162821",
"country_code": "US",
"telephone_number": "503-713-9155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.