NPIMap

Drew N Anderson, CADC-I, QMHA-1, CRM

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI 1962277699 · NPPES record last updated May 6, 2026

Key facts

NPI
1962277699
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
24-10-11260 (OR)
Practice address
355 NW Division St
Gresham, OR 97030-5523
Phone
(503) 231-2641
NPI assigned
Nov 22, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
25-CRM-4460ORMDAddiction (Substance Use Disorder) Counselor
24-QMHA-I-004764ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Lane Past
since Nov 1, 2023		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25-CRM-4460 OR
Mental Health Counselor 101YM0800X 24-QMHA-I-004764 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 24-10-11260 OR Yes

Addresses

Primary practice location

355 NW Division St
Gresham, OR 97030-5523

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502
Phone (503) 224-1044

Other providers in Gresham, OR

All providers in Gresham, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.