Secret Ann Johnston is a Portland, Oregon based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Secret Ann Johnston is 23-01-10621 for Addiction (Substance Use Disorder) Counselor in Oregon. Her current practice location is 1631 Sw Coumbia St, Portland. Patients can book an appointment with her at 503-231-2641.
Secret Ann Johnston is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Secret Ann Johnston speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Secret Ann Johnston
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
CADC I/CRM/PSS/QMHAR
Accepts Medicare Assignment:
No
Practice Address:
1631 Sw Coumbia St, Portland, Oregon, 97201
Phone:
503-231-2641
Fax:
503-231-1654
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1306517420
NPI Enumeration Date:
28 Sep, 2021
NPI Last Update On:
17 Jul, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Secret Ann Johnston are as mentioned below.
License Number
Specialization
State
Status
23-01-10621
Addiction (Substance Use Disorder) Counselor
Oregon
Primary
22-CRM-891
Addiction (Substance Use Disorder) Counselor
Oregon
Secondary
23-QMHA-R-3855
Mental Health Counselor
Oregon
Secondary
THW000106531
Peer Specialist
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Secret Ann Johnston such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500813291
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1776 Sw Madison St, Portland, Oregon
Zip:
97205-1715
Phone Number:
503-224-1044
Fax Number:
503-621-2235
Patients can reach Secret Ann Johnston at 1631 Sw Coumbia St, Portland, Oregon or can call to book an appointment on 503-231-2641. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.