Active NPI
Jeffrey K Buchanan, CADC II/QMHA-I
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1649848656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 25-03-20553
- Practice address
- 1631 SW Columbia St
Portland, OR 97201-6025 - Phone
- (503) 231-2641
- Fax
- (503) 231-1654
- NPI assigned
- Jun 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22-QMHA-I-003506 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25-03-20553 | OR | Primary |
Addresses
Primary practice location
1631 SW Columbia St
Portland, OR 97201-6025
Mailing address
211 SE Caruthers St
Portland, OR 97214-4502
Phone (971) 217-9008
Other practice location 1
355 NW Division St
Gresham, OR 97030-5523
Phone (971) 225-6695
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500831450 | Medicaid | OR | |
| 500799394 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-QMHA-I-003506 | OR | MD | Mental Health Counselor |
Interoperability endpoints
- jeffrey.buchanan.p1@direct.grandronde.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1649848656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SE CARUTHERS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144502",
"telephone_number": "971-217-9008",
"fax_number": "971-260-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 SW COLUMBIA ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972016025",
"telephone_number": "503-231-2641",
"fax_number": "503-231-1654"
}
],
"practiceLocations": [
{
"address_1": "355 NW Division St",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970305523",
"country_code": "US",
"telephone_number": "971-225-6695",
"fax_number": "503-231-1654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHANAN",
"first_name": "JEFFREY",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "CADC II/QMHA-I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-15",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "22-QMHA-I-003506",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "25-03-20553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500831450",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500799394",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.