Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. VANESSA ABIGAIL SERVELLON-MARENCO MSW, QHMP
NPI 1811418353
Counselor - Mental Health in Portland, OR

Q: What is Vanessa Servellon-marenco's NPI number?

The NPI number for Vanessa Servellon-marenco is 1811418353. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Q: What is Vanessa Servellon-marenco's specialty?

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

Active since July 06, 2017PECOS Enrolled

3407 S CORBETT AVE, PORTLAND, OR 97239(503) 342-2649(844) 206-0830 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 29, 2026, Mar 30, 2025, Jan 11, 2023 and 3 more (6 updates tracked since 2017).

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About Ms. Vanessa Abigail Servellon-marenco Msw, Qhmp NPPES

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

MS. VANESSA ABIGAIL SERVELLON-MARENCO MSW, QHMP (NPI 1811418353) is an individual mental health provider in Portland, Oregon and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811418353

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. VANESSA ABIGAIL SERVELLON-MARENCOCredential: MSW, QHMP

Location Address3407 S CORBETT AVEPortland, OR 97239-4621

Mailing Address3407 S Corbett AvePortland, OR 97239-4621 · (503) 342-2649

Phone(503) 342-2649

Fax(844) 206-0830

Sole ProprietorYes

Enumeration DateJuly 6, 2017

Last NPPES UpdateSeptember 29, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2025

✔ NPI 1811418353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3407 S CORBETT AVE, Portland, OR 97239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Vanessa Abigail Servellon-marenco Msw, Qhmp 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 Vanessa Servellon-marenco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Clackamas Office Of County Auditor

6.4 mi

Mental Health (Including Community Mental Health Center)

6605 SE LAKE ROAD
Milwaukie, OR 97222

Reassigned Medicare billing, Oregon enrollment
130 clinicians in this Medicare group

NPI 1245269315 (503) 655-8401

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 15

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

SARAH M. KOPENCEY PSYD

Psychologist (Clinical)