Quincy B Johnson, CPC , CRM, CGRM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

10209 SE Division St BLDG C
Portland, OR 97266-1372

Phone

(503) 228-9229

NPI assigned

Sep 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: quincy.johnson.p1@direct.voaor.nextgenshare.com

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1942924436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 NE ANDERSON ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658333",
            "telephone_number": "360-839-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 SE DIVISION ST BLDG C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661372",
            "telephone_number": "503-228-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E Fourth Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986613713",
            "country_code": "US",
            "telephone_number": "360-397-8246 x30566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "QUINCY",
        "middle_name": "B",
        "credential": "CPC , CRM, CGRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penelope J Johnson
• Penny Lee Johnson, R.D.H.
• Peyton Selena Johnson, MD
• Phillip Johnson
• Quin Johnson
• Rachel Johnson, PA-C
• Rachel Leigh Marie Johnson, RN
• Rebecca J Johnson, CRM/PSS
• Rebecca L Johnson
• Regan Lynn Johnson

• 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 Aug 25, 2025; 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.