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JEREMY RANDOLPH NAISH CADC-II, QMHA-II
NPI 1720667702
Counselor in Portland, OR

Active since April 06, 2021
1712 NE SANDY BLVD, PORTLAND, OR 97232(503) 496-6839 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeremy Randolph Naish Cadc-ii, Qmha-ii NPPES

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

JEREMY RANDOLPH NAISH CADC-II, QMHA-II (NPI 1720667702) is an individual counselor in Portland, Oregon, licensed in Oregon (23-QMHA-I-003747) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1720667702
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEREMY RANDOLPH NAISHCredential: CADC-II, QMHA-II
Location Address1712 NE SANDY BLVDPortland, OR 97232-2851
Mailing Address1712 Ne Sandy BlvdPortland, OR 97232-2851 · (971) 712-9258
Phone(503) 496-6839
Sole ProprietorNo
Enumeration DateApril 6, 2021
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1720667702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · 23-QMHA-I-003747
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 23-05-20277 (OR)
1712 NE SANDY BLVD, Portland, OR 97232
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Other Providers at the Same Location NPPES 2

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

PAMELA LESLIE BOND LCSW, CADC-III
Social Worker (Clinical)
1712 NE SANDY BLVD
PORTLAND, OR 97232
Multnomah County (503) 496-6839
SERENITY COUNSELING AND WELLNESS
Counselor (Mental Health)
1712 NE SANDY BLVD
PORTLAND, OR 97232
Multnomah County (503) 496-6839

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 Naish's NPI number?

The NPI number for Jeremy Naish is 1720667702. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Jeremy Naish located?

Jeremy Naish practices at 1712 NE Sandy Blvd, Portland, OR 97232. The listed phone number is (503) 496-6839.

What is Jeremy Naish's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Naish was last updated on April 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.