HUGH LEONARD (NPI# 1861086589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861086589 |
| Entity Type | Individual |
| Full Name | HUGH LEONARD |
| Gender | Male |
| Credential | CRM |
| Practice Address | 1316 Se 12th Ave Portland OR 97214-3604 |
| Practice Telephone | 5038971916 |
| Practice Fax Number | 5032962459 |
| Mailing Address | 1316 Se 12th Ave Portland OR 97214-3604 |
| Mailing Telephone | 5038971916 |
| Mailing Fax Number | 5032962459 |
| Certification Date | 2021-02-23 |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 21-CRM-343 | OR | Other Service Providers |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| 21-CRM-343 | OR | MHACBO | Other |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | h.leonard@recoveryblvd.com | 1316 Se 12th Ave, Portland, OR 972143604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386146439 | Hugh Leonard | 1000 W Carson St # 498, Torrance, CA 90502-2004 | 2018-03-05 |
| Street Address | 1316 SE 12TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972193332 | Jamie Mazhnikova | Counselor · Addiction (Substance Use Disorder) | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2021-01-20 |
| 1063001550 | Madeline Shepherd | Peer Specialist | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2021-01-11 |
| 1851980338 | Marie Coyner | Counselor · Addiction (Substance Use Disorder) | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2021-01-11 |
| 1013528603 | Joseph K Chow | Counselor · Addiction (Substance Use Disorder) | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2020-08-16 |
| 1619519576 | Erika Lynn Budd | Counselor · Addiction (Substance Use Disorder) | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2019-10-11 |
| 1255991337 | John Dalton Williams II | Counselor · Addiction (Substance Use Disorder) | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2019-06-19 |
| 1912482092 | Anthony W Velasquez Jr. | Counselor · Addiction (Substance Use Disorder) | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2018-09-25 |
| 1619493681 | Molly Jo Clouteir | Peer Specialist | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2017-08-21 |
| 1366985707 | Gerald Todd Flynn | Counselor · Mental Health | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-12-01 |
| 1154785475 | Blvd Centers, Inc · Blvd | Substance Abuse Rehabilitation Facility | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-04-12 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1649824335 | Morgan Rae Sparks | Behavior Technician | 1025 Se 11th Ave Apt 302, Portland, OR 97214 | 2019-07-30 |
| 1902463938 | Rachel Lewis | Massage Therapist | 2303 E Burnside St, Portland, OR 97214 | 2019-05-24 |
| 1013495050 | Lucija Bergere | Case Manager/Care Coordinator | 605 Se Cesar E Chavez Blvd, Portland, OR 97214 | 2018-08-01 |
| 1477054146 | Shaznin Daruwalla | Psychologist | 605 Se Cesar E Chavez Blvd, Portland, OR 97214 | 2018-02-27 |
| 1184139321 | Briana Nicole Smith | Counselor · Mental Health | 3910 Se Stark St, Portland, OR 97214 | 2017-12-11 |
| 1801305487 | Mason Moore | Massage Therapist | 80 Se Madison St Ste 216, Portland, OR 97214 | 2017-09-26 |
| 1730606708 | Anika Amin | Counselor · Mental Health | 1027 E Burnside St, Portland, OR 97214 | 2017-08-29 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144814492 | Emma Rose Cooper | 1132 Sw 13th Ave, Portland, OR 97205-1703 | 2021-02-26 | |
| 1295327245 | Randall Princeton Brewster | 10564 Se Washington St, Portland, OR 97216-2809 | 2021-02-10 | |
| 1376135079 | Devon Greene | 1027 E Burnside St, Portland, OR 97214-1328 | 2021-02-04 | |
| 1083206825 | Mandy Moran | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2021-02-03 | |
| 1063001550 | Madeline Shepherd | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2021-01-11 | |
| 1144817586 | Jacquelle C Davis | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-12-30 | |
| 1073100053 | Jennifer L. Wills | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2020-12-24 | |
| 1467049494 | Kimberly Clarke | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-12-23 | |
| 1295321594 | Charlene Denise Albin · Charlene Denise Jones | 1312 Sw Wahington St, Portland, OR 97208 | 2020-12-21 | |
| 1306440383 | Tanna L Chandler | 1631 Sw Columbia St, Portland, OR 97201-6025 | 2020-11-30 | |
| Find all providers in PORTLAND | ||||
| City | PORTLAND |
| Zip Code | 97214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356417927 | Leonard Hugh Vanhorn | Chiropractor | 501 Cr 279, Florence, AL 35633 | 2006-11-27 |
| 1164795381 | Hugh F Bigg | Pediatrics | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2012-02-18 |
| 1104134659 | Leonard Hugh Parton | Pharmacist | 1755 Decherd Blvd, Decherd, TN 37324-3657 | 2010-09-17 |
| 1801255294 | Graceworks Enhanced Living · Hugh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5584 Hugh Dr, Centerville, OH 45459-1617 | 2016-02-15 |
| 1629453196 | Leonard Nursing Home and Rehabilitation LLC · Leonard Manor | Skilled Nursing Facility | 902 E Hackberry St, Leonard, TX 75452-6318 | 2015-07-27 |
| 1881998524 | Timothy Ray Leonard | Physical Therapy Assistant | 126 Missouri Ave, General Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473 | 2011-01-10 |
| 1740692656 | Hugh Chatham Memorial Hospital · Hugh Chatham Behavioral Health | Psychiatry & Neurology · Psychiatry | 690 Parkwood Medical Park, Elkin, NC 28621-2487 | 2014-05-27 |
| 1144655903 | Hugh Chatham Memorial Hospital · Hugh Chatham Family Medicine Wilkes | Family Medicine | 5229 Rock Creek Rd, Hays, NC 28635-9267 | 2013-09-11 |
| 1295869857 | Hugh Chatham Memorial Hospital, Inc. · Hugh Chatham Regional Rehabilitation Center | Rehabilitation Unit | 180 Parkwood Dr, Elkin, NC 28621-2430 | 2007-03-15 |
| 1851567663 | Hugh Chatham Memorial Hospital, Inc · Hugh Chatham Inpatient Medicine Specialists | Internal Medicine | 180 Parkwood Dr, Elkin, NC 28621-2430 | 2008-05-01 |
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| 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.