ANOTHER CHANCE CLINICAL SERVICES LLC
Clinic/Center

Address: 12670 Nw Barnes Rd Ste 200, Portland, OR 97229-9001

ANOTHER CHANCE CLINICAL SERVICES LLC (NPI# 1811572860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811572860
Entity Type Organization
Organization Name ANOTHER CHANCE CLINICAL SERVICES LLC
Practice Address 12670 Nw Barnes Rd Ste 200
Portland
OR 97229-9001
Practice Telephone 5039953718
Mailing Address 12670 Nw Barnes Rd Ste 200
Portland
OR 97229-9001
Mailing Telephone 5039953718
Certification Date 2021-03-17
Enumeration Date 2021-03-11
Last Update Date 2021-03-17
Authorized Official Telephone 5039953718
Authorized Official Credential CADC II, QMHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 12670 NW BARNES RD STE 200
City PORTLAND
State OR
Zip Code 97229-9001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851657605 John James Morgan Counselor - Addiction (Substance Use Disorder) 12670 Nw Barnes Rd Ste 200, Portland, OR 97229-9001 2012-04-05

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1548858442 Cady Mathews Pharmacist 24 Nw Lost Springs Terr #36, Portland, OR 97229 2021-01-06
1447857164 Anthony Rene Soto Student in an Organized Health Care Education/Training Program Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-10-06
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102689 Raquel A Bishop Nurse Practitioner - Family 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 2019-09-10
1669026134 Alexandra Elizabeth Lodwig Speech-Language Pathologist 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 2019-08-01
1003316043 Jenny Lavonne Thom · Jenny Lavonne Miller Counselor - Mental Health 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 2018-02-16
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1104447895 Beyond Health LLC Clinic/Center - Primary Care 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 2020-05-04
1467969220 Nw Mind-Body Wellness, LLC Nurse Practitioner - Psych/Mental Health 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1548726581 Timber Dental Bethany Dentist - General Practice 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 2019-02-14
Find all providers in zip 97229

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316540180 The Hamilton Center Community/Behavioral Health 10260 Sw Greenburg Rd Ste 400, Portland, OR 97223-5514 2020-11-16
1710586821 Plum Consulting LLC Community/Behavioral Health 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 2020-10-20
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1184247850 Altoris Behavior Support LLC Community/Behavioral Health 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 2020-05-28
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1578102216 Act Nw Community/Behavioral Health 909 Nw 24th Ave, Portland, OR 97210-3009 2019-12-28
1073164018 Portland Family Services LLC Community/Behavioral Health 439 N Broadway, Portland, OR 97227-1803 2019-09-20
1427602655 Maine Maternal LLC Community/Behavioral Health 52 Bolton St, Portland, ME 04102-2502 2019-07-25
1194284349 Oriel Offit, Clinical Psychologist, LLC Community/Behavioral Health 222 Saint John St Ste 227, Portland, ME 04102-3058 2019-03-18
1417420001 Guillaume Counseling Services, P.C. · Guillaume Marriage and Family Counseling Community/Behavioral Health 8885 Sw Canyon Rd Ste 128, Portland, OR 97225-3447 2019-01-07
Find all providers in PORTLAND

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City PORTLAND
Zip Code 97229

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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