Individual provider Active NPI

John James Morgan, CDACII, QMHA, CRM

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1851657605
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15-02-18 Issued in OR
Practice address
12670 NW Barnes Rd Ste 200
Portland, OR 97229-9001
Phone
(503) 995-3718
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19-QMHA-I-00020 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 15-02-18 OR Primary

Addresses

Primary practice location

12670 NW Barnes Rd Ste 200
Portland, OR 97229-9001

Mailing address

15306 SE Clay CT
Portland, OR 97233-3328
Phone (503) 995-3718

Other practice location 1

15306 SE Clay Ct
Portland, OR 97233-3328
Phone (503) 995-3718

Other practice location 2

1122 NE 122nd Ave Ste A200
Portland, OR 97230-2083
Phone (039) 953-7185

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
19-QMHA-I-00020ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Another Chance Clinical Services LLC CurrentSince Mar 21, 2021 Accepting new patients

Locations

12670 NW Barnes Rd
Ste 200
Portland, OR 97229
Phone (503) 747-0404

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1851657605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15306 SE CLAY CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333328",
            "telephone_number": "503-995-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 NW BARNES RD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299001",
            "telephone_number": "503-995-3718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15306 SE Clay Ct",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972333328",
            "country_code": "US",
            "telephone_number": "503-995-3718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 NE 122nd Ave Ste A200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972302083",
            "country_code": "US",
            "telephone_number": "039-953-7185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "credential": "CDACII, QMHA, CRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "19-QMHA-I-00020",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "15-02-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2021; 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.