JEREMY LANKENAU MS, QMHP
NPI 1255918413
Counselor - Mental Health in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 25, 2021PECOS Enrolled

1825 NE GLISAN ST, PORTLAND, OR 97232(503) 963-7676 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jeremy Lankenau Ms, Qmhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY LANKENAU MS, QMHP (NPI 1255918413) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255918413

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJEREMY LANKENAUCredential: MS, QMHP

Location Address1825 NE GLISAN STPortland, OR 97232-2844

Mailing AddressPo Box 8459Portland, OR 97207-8459

Phone(503) 963-7676

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 25, 2021

NPPES CertifiedMarch 25, 2021

✔ NPI 1255918413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1825 NE GLISAN ST, Portland, OR 97232

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Lankenau Ms, Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698278760

PECOS Enrollment IDI20250912004210

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.