Jackie Johnson, CADC II/QMHP-C, CSWA
NPI 1770745457 · Addiction (Substance Use Disorder) Counselor · Gresham, OR
Jackie Johnson, CADC II/QMHP-C, CSWA is a Addiction (Substance Use Disorder) Counselor provider in Gresham, OR (NPI 1770745457).
Provider details
- NPI number
- 1770745457
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC II/QMHP-C, CSWA
- Sex
- Male
- Sole proprietor
- No
- License
- 17-CRM-078 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Frequently asked questions
- What is Jackie Johnson's NPI number?
- Jackie Johnson's National Provider Identifier (NPI) is 1770745457, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Johnson's specialty?
- Jackie Johnson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jackie Johnson located?
- Jackie Johnson's practice location on file with NPPES is 355 Nw Division St, Gresham, OR 97030-5523.
- What is Jackie Johnson's phone number?
- The practice phone number listed in the NPPES registry for Jackie Johnson is (503) 231-2641.
- Is Jackie Johnson's NPI active?
- Yes — Jackie Johnson's NPI (1770745457) is active in the NPPES registry as of the last update on 2025-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.