Linden Johanson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3148 Issued in OR

Practice address

7409 SW Capitol Hwy Ste 205B
Portland, OR 97219-2432

Phone

(503) 460-7881

NPI assigned

Jul 30, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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 and National Provider Directory roles.

• Multnomah Therapy, LLC

  • Professional Counselor
  • Portland, OR
  • NPI 1508269143
  NPD (past) Authorized official

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1871901108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 SW CAPITOL HWY STE 205B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192432",
            "telephone_number": "503-460-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 SW CAPITOL HWY STE 205B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192432",
            "telephone_number": "503-460-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSON",
        "first_name": "LINDEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "621330",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Ronald Johansen, D.C.
• Priscilla Johansen
• Ronald R Johansen, D.C.
• Winnie Li Johansen
• Katherine Johanson, RPH
• Tamzin Adair Johanson
• Tavis M Johansson, D.C.
• Nicholas Darwin Johantgen, PA-C
• Baljit Kaur Johl, PT
• John a Lindgren, MD PC

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.