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

Patricia Guadalupe Johnson

Individual provider Professional Counselor · NPI 1629718127

Patricia Guadalupe Johnson is a Mental Health Counselor in Portland, Oregon. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
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Practice location Address checks out

1110 SE Alder St Ste 301
Portland, OR 97214-2400
Phone: (503) 922-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1629718127
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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