FORA HEALTH INC.
NPI 1245378546
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

NPI Status: Active since February 01, 2007

Contact Information

10230 SE CHERRY BLOSSOM DR
PORTLAND, OR
ZIP 97216
Phone: (503) 535-1150
Fax: (503) 535-1190

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About FORA HEALTH INC.

This page provides the complete NPI Profile along with additional information for Fora Health Inc., a provider established in Portland, Oregon operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1245378546 assigned on February 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is De Paul Treatment Centers, Inc.. The authorized official of this NPI record is Mallory Juanita-ann Johnson (Contract Coordinator)

NPI
1245378546
Provider Legal Name
FORA HEALTH INC.
Other Organization Name
DE PAUL TREATMENT CENTERS, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
10230 SE CHERRY BLOSSOM DR PORTLAND, OR 97216
Location Phone
(503) 535-1150
Location Fax
(503) 535-1190
Mailing Address
P.O.BOX 16040 PORTLAND, OR 97292
Mailing Phone
(503) 535-1150
Mailing Fax
(503) 535-1190
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2007
Last Update Date
07-27-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License State
OR

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

(OR)
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

(OR)
3261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

(OR)
4261QR0401XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

(OR)
5261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

(OR)
6320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

(OR)
7324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

(OR)
83245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

(OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MALLORY JUANITA-ANN JOHNSON

Authorized Official Title
CONTRACT COORDINATOR
Authorized Official Phone
(503) 535-1156

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
299811MEDICAID (05)OR 

Reviews for FORA HEALTH INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245378546
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285671658
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 7 + 1 + 6 + 5 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1245378546 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083353494 SAGE LUNA NEBULA CADC-R, CRM
Individual
Counselor (Addiction (Substance Use Disorder))10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1151
1770261612 LYNSEE LANEE PANGLE CRM
Individual
Peer Specialist10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1150
1730967068 STEPHANIE GEANE SALINAS CRM
Individual
Peer Specialist10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1150
1629842661 DEVON BLACK CRM
Individual
Peer Specialist10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1150
1740965250 COISHA GABRIELLE GRAHAM
Individual
Nurse Practitioner10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1151
1801640578 MACKENZIE JO LAWRENCE
Individual
Social Worker10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1150
1033968193FORA HEALTH INC.
Organization
Substance Abuse Rehabilitation Facility10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1150
1265260822 DANIELLE DEAL
Individual
Counselor (Addiction (Substance Use Disorder))10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1150
1639990476 ALEXANDRA MARIE PLATT
Individual
Counselor (Addiction (Substance Use Disorder))10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1150
1619539863MRS. CHELSEA LEE WILLIAMS CADC II, QMHA I
Individual
Counselor (Addiction (Substance Use Disorder))10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1151
1356166037 JAKE MOXLEY CADC I
Individual
Counselor (Addiction (Substance Use Disorder))10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1150
1699586800MR. JAMES GIGGY CADC1, CRM, QMHA-R
Individual
Counselor (Addiction (Substance Use Disorder))10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1167
1295525566 ISABELLA EILEEN GILLESPIE CRM
Individual
Peer Specialist10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1151
1689464950 TODD HESSE
Individual
Peer Specialist10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1151
1831989193 LEANNE LOUKOJARVI CRM
Individual
Peer Specialist10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1151
1891684858 MICHELE LEA BRADLEY QMHP-C, CADC-R, CRMI
Individual
Counselor (Mental Health)10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
(503) 535-1151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245378546, enumerated in the NPI registry as an "organization" on February 01, 2007

The provider is located at 10230 Se Cherry Blossom Dr Portland, Or 97216 and the phone number is (503) 535-1150

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.