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

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: August 09, 2026.

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER DOUGLAS CAVIGLIA
Peer Specialist
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
GUADALUPE GONZALES
Peer Specialist
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
JADE ADAMS
Social Worker (Clinical)
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
JASPER SOLOMAN KNOX
Counselor (Mental Health)
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
HOWARD SETH SEIDEL
Peer Specialist
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
CELESTE M GLEASON BSW
Counselor (Mental Health)
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
AUBRY LYNNE LOPE
Counselor (Mental Health)
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 872-0111
SARA MICHELLE SORGENFRIE
Case Manager/Care Coordinator
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Lankenau's NPI number?

The NPI number for Jeremy Lankenau is 1255918413. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Jeremy Lankenau located?

Jeremy Lankenau practices at 1825 NE Glisan St, Portland, OR 97232. The listed phone number is (503) 963-7676.

What is Jeremy Lankenau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jeremy Lankenau enrolled in Medicare?

Yes. Jeremy Lankenau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Lankenau was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.