Jala Akilah Waleed, CADC II, QMHA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

9268 SE Clinton St
Portland, OR 97266-1456

Phone

(503) 870-0480

Fax

(503) 872-0481

NPI assigned

Mar 7, 2007

Last updated

Feb 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1932230653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 NE GOING PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204859",
            "telephone_number": "503-872-0480",
            "fax_number": "503-872-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9268 SE CLINTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661456",
            "telephone_number": "503-870-0480",
            "fax_number": "503-872-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALEED",
        "first_name": "JALA",
        "middle_name": "AKILAH",
        "name_prefix": "Ms.",
        "credential": "CADC  II, QMHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932230653",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Elizabeth Waldron, MD
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• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.