Deshawn Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C7217 Issued in OR

Practice address

6647 SE Milwaukie Ave Ste B210
Portland, OR 97202-5661

Phone

(971) 258-2120

NPI assigned

Aug 1, 2019

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sankofa Counseling, LLC

  • Professional Counselor
  • Portland, OR
  • NPI 1851842108

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1710531207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6647 SE MILWAUKIE AVE STE B210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025661",
            "telephone_number": "971-258-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6647 SE MILWAUKIE AVE STE B210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025661",
            "telephone_number": "971-258-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39155 Liberty St Ste E500",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381516",
            "country_code": "US",
            "telephone_number": "510-574-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DESHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Johnson
• Danielle Johnson
• Darnell Lee Johnson, CRM, PSS, THW
• Daydrina Monaiy Johnson
• Deonica Johnson
• Desiree Johnson, LMT
• Devin Alise Johnson
• Dezmoree Johnson, MA, CMHC
• Don L Johnson
• Duan Johnson Jr.

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

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

Verify at the official NPI Registry.