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TAYLOR KLAUS-VINEYARD CADC, QMHP
NPI 1407249063
Counselor - Mental Health in Portland, OR

Active since March 06, 2015PECOS Enrolled
1427 SE 182ND AVE, PORTLAND, OR 97233(503) 761-6006(503) 761-1434 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2025, Nov 22, 2024 (2 updates tracked since 2024).

About Taylor Klaus-vineyard Cadc, Qmhp NPPES

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

TAYLOR KLAUS-VINEYARD CADC, QMHP (NPI 1407249063) is an individual mental health provider in Portland, Oregon, licensed in Washington (MC60593925) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407249063
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTAYLOR KLAUS-VINEYARDCredential: CADC, QMHP
Location Address1427 SE 182ND AVEPortland, OR 97233-5008
Mailing Address1027 E Burnside StPortland, OR 97214-1328 · (503) 239-8400 · Fax (503) 269-8407
Phone(503) 761-6006
Fax(503) 761-1434
Sole ProprietorNo
Enumeration DateMarch 6, 2015
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1407249063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WA · MC60593925✔ Licensed in CA · 10311
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15-07-2-1 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1427 SE 182ND AVE, Portland, OR 97233
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Klaus-vineyard Cadc, Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Klaus-vineyard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
782 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JULIANNA HALEEN
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
MR. MELVIN JESS GUARDIPEE JR. CADC II
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
MAYTRONE SHEMARLAND CLAYBORN BA, MDIV
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6005
CLARE CALLAN
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
MARLON ASHFORD CRM/PSS
Peer Specialist
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
MARIA KRUEGER
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6005
MICHELLE ANN PETERSON CADAC-II
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (503) 761-6006
BRIANNA BROWN CACD II
Counselor (Addiction (Substance Use Disorder))
1427 SE 182ND AVE
PORTLAND, OR 97233
Multnomah County (971) 369-5642

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 Taylor Klaus-vineyard's NPI number?

The NPI number for Taylor Klaus-vineyard is 1407249063. It was assigned to this individual provider in the NPPES registry on March 6, 2015.

Where is Taylor Klaus-vineyard located?

Taylor Klaus-vineyard practices at 1427 SE 182nd Ave, Portland, OR 97233. The listed phone number is (503) 761-6006.

What is Taylor Klaus-vineyard's specialty?

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

Is Taylor Klaus-vineyard enrolled in Medicare?

Yes. Taylor Klaus-vineyard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taylor Klaus-vineyard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Klaus-vineyard reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Klaus-vineyard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Taylor Klaus-vineyard was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.