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

Jeremy Russell Johnson, LPCA

Individual provider Mental Health Counselor · NPI 1023517760

Jeremy Russell Johnson, LPCA is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018

Practice location Address checks out

5441 S Macadam Ave Ste N
Portland, OR 97239-6106
Phone: (909) 360-9341
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R10828 (OR)

Record details

NPI number1023517760
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCA
Sole proprietorNo
NPI enumeratedFebruary 8, 2018
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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