TRAVIS SCOTT PETCHELL QMHA-R, PWS
NPI 1629825906
Counselor - Mental Health in Portland, OR

Active since May 03, 2024
1438 SE DIVISION ST, PORTLAND, OR 97202(503) 224-1044(971) 260-0355 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Travis Scott Petchell Qmha-r, Pws NPPES

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

TRAVIS SCOTT PETCHELL QMHA-R, PWS (NPI 1629825906) is an individual mental health provider in Portland, Oregon, licensed in Oregon (25-QMHA-R-7767) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1629825906
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRAVIS SCOTT PETCHELLCredential: QMHA-R, PWS
Location Address1438 SE DIVISION STPortland, OR 97202-1140
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355
Fax(971) 260-0355
Sole ProprietorNo
Enumeration DateMay 3, 2024
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
NPI 1629825906 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
License Licensed in OR · 25-QMHA-R-7767
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000108531 (OR)
1438 SE DIVISION ST, Portland, OR 97202

Other Identifiers 1

Medicaid500843961OR

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.

Counselor (Addiction (Substance Use Disorder))
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Peer Specialist
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202

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 Travis Petchell's NPI number?

The NPI number for Travis Petchell is 1629825906. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Travis Petchell located?

Travis Petchell practices at 1438 SE Division St, Portland, OR 97202. The listed phone number is (503) 224-1044.

What is Travis Petchell's specialty?

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

When was this NPI record last updated?

The NPPES record for Travis Petchell was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.