JEREMIAH RICHARDSON
NPI 1588062806
Counselor - Mental Health in Portland, OR

Active since December 18, 2014PECOS EnrolledAccepts Medicare Assignment
11035 NE SANDY BLVD, PORTLAND, OR 97220(503) 258-4200 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremiah Richardson NPPES

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

JEREMIAH RICHARDSON (NPI 1588062806) is an individual mental health provider in Portland, Oregon and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1588062806
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMIAH RICHARDSON
Location Address11035 NE SANDY BLVDPortland, OR 97220
Mailing Address1507 Ne 122nd AvePortland, OR 97230-1911 · (503) 258-4555
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 18, 2014
Last NPPES UpdateJune 8, 2018
NPI 1588062806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11035 NE SANDY BLVD, Portland, OR 97220

Secondary Practice Location 1

Location 111035 NE Sandy BlvdPortland, OR 97220-2553 · Phone (503) 258-4200

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeremiah Richardson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971048752
PECOS Enrollment IDI20240717000481
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.

Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Marriage & Family Therapist
11035 NE SANDY BLVD
PORTLAND, OR 97220
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Counselor (Mental Health)
11035 NE SANDY BLVD
PORTLAND, OR 97220
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220

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 Jeremiah Richardson's NPI number?

The NPI number for Jeremiah Richardson is 1588062806. It was assigned to this individual provider in the NPPES registry on December 18, 2014.

Where is Jeremiah Richardson located?

Jeremiah Richardson practices at 11035 NE Sandy Blvd, Portland, OR 97220. The listed phone number is (503) 258-4200.

What is Jeremiah Richardson's specialty?

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

Is Jeremiah Richardson enrolled in Medicare?

Yes. Jeremiah Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeremiah Richardson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jeremiah Richardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremiah Richardson was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.