Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ike Johnson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679217905

Ike Johnson is an Addiction (Substance Use Disorder) Counselor in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1545 Harbeck Rd
Grants Pass, OR 97527-5605
Phone: (541) 476-2373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X (OR)

Record details

NPI number1679217905
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2022
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address1215 Sw G St, Grants Pass, OR 97526-2544

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