Individual provider Active NPI

John Joseph Saint, CRM/PSS/QMHA-R

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1750040556
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
23-CRM-2187 Issued in OR
Practice address
1438 SE Division St
Portland, OR 97202-1140
Phone
(503) 548-0346
Fax
(503) 232-5959
NPI assigned
Dec 9, 2021
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23-CRM-2187 OR Primary
Mental Health Counselor 101YM0800X 22-QMHA-R-3173 OR
Peer Specialist 175T00000X THW000107157 OR

Addresses

Primary practice location

1438 SE Division St
Portland, OR 97202-1140

Mailing address

1776 SW Madison St
Portland, OR 97205-1715
Phone (503) 224-1044

Other identifiers 2

IdentifierTypeStateIssuer
500825764MedicaidOR
500817887MedicaidOR

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

State licenses

LicenseStateTypeSpecialty
23-CRM-2187ORMDAddiction (Substance Use Disorder) Counselor
22-QMHA-R-3173ORMDMental Health Counselor
THW000107157ORMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1750040556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 SW MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051715",
            "telephone_number": "503-224-1044",
            "fax_number": "503-621-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021140",
            "telephone_number": "503-548-0346",
            "fax_number": "503-232-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "CRM/PSS/QMHA-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "23-CRM-2187",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "22-QMHA-R-3173",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000107157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500825764",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500817887",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.