Dr Kara R Johansen, PSYD in West Linn, OR - Medicare Psychologist Provider

Dr Kara R Johansen, PSYD is a medicare enrolled "Psychologist - Clinical" provider in West Linn, Oregon. Her current practice location is 21810 Willamette Dr Ste 200, West Linn, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 994-4353.

Dr Kara R Johansen is licensed to practice in Oregon (license number 3190) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124220389.

Contact Information

	Dr Kara R Johansen, PSYD
	21810 Willamette Dr Ste 200, West Linn, OR 97068-3287
	(503) 994-4353
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kara R Johansen
Gender	Female
Speciality	Psychologist - Clinical
Location	21810 Willamette Dr Ste 200, West Linn, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124220389
Provider Enumeration Date: 06/01/2007
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6608065842
Enrollment ID: I20200819003285

Medical Identifiers

Medical identifiers for Dr Kara R Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124220389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	P0000002916 (Tennessee)	Secondary
103TC0700X	Psychologist - Clinical	3190 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kara R Johansen allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330

Entity Name	Holy Family Catholic Clinic, P.s.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619588175 PECOS PAC ID: 4587083779 Enrollment ID: O20201008000826

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kara R Johansen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kara R Johansen, PSYD 21810 Willamette Dr Ste 200, West Linn, OR 97068-3287 Ph: (503) 994-4353	Dr Kara R Johansen, PSYD 21810 Willamette Dr Ste 200, West Linn, OR 97068-3287 Ph: (503) 994-4353

Reviews and Comments

Psychologist in West Linn, OR

Dr. Tracy Leigh Chisholm, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22400 Johnson Rd, West Linn, OR 97068 Phone: 850-294-5733
Rachel Miles, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6065 W A St, West Linn, OR 97068 Phone: 503-825-7634
Dr. Paige L. Marmer, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21900 Willamette Dr Ste 202, West Linn, OR 97068 Phone: 503-653-0631 Fax: 503-653-1464
Dr. David Robert Gleave, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Blankenship Rd Ste 200, West Linn, OR 97068 Phone: 971-350-8776
Dr. Nancy R Bryant, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2008 Willamette Falls Dr Ste 200a, West Linn, OR 97068 Phone: 503-655-3505
Dr. Harold Buchanan Robb Iii, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 19801 S Hazelhurst Ln, West Linn, OR 97068 Phone: 503-523-8562

Dr Kara R Johansen, PSYD - Medicare Psychologist in West Linn, OR