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GRACEN TICHELAAR
NPI 1881138618
Counselor - Mental Health in Portland, OR

Active since December 13, 2016PECOS Enrolled
2236 SE BELMONT ST, PORTLAND, OR 97214(503) 445-7699 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2023, Feb 2, 2023, Dec 17, 2021 and 4 more (7 updates tracked since 2016).

About Gracen Tichelaar NPPES

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

GRACEN TICHELAAR (NPI 1881138618) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R7856) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1881138618
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGRACEN TICHELAAR
Location Address2236 SE BELMONT STPortland, OR 97214-2817
Mailing Address1219 Se Lafayette St Ste 100Portland, OR 97202-3802 · (503) 369-9756
Phone(503) 445-7699
Sole ProprietorNo
Enumeration DateDecember 13, 2016
Last NPPES UpdateMarch 9, 20237 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1881138618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R7856
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2236 SE BELMONT ST, Portland, OR 97214
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11219 SE Lafayette St Ste 100Portland, OR 97202-3802 · Phone (503) 369-9756
Location 2847 NE 19th Ave, Suite 100Portland, OR 97232-2684 · Phone (503) 238-0796
Location 314600 NW Cornell RdPortland, OR 97229-5442 · Phone (503) 645-3581
Location 45415 SW Westgate DrPortland, OR 97221-2409 · Phone (503) 369-9756

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gracen Tichelaar 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 Gracen Tichelaar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multnomah County
1.5 mi
Public Health, State or Local
3653 SE 34TH AVE
Portland, OR 97202
  • Reassigned Medicare billing, Oregon enrollment
  • 215 clinicians in this Medicare group
NPI 1720126816 (503) 988-7462

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 11

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

BRIANNE BRINKLEY
Peer Specialist
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
JOHN SKYLER JOHNSON-WAGNER
Peer Specialist
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 455-7699
MASON CLARK BOUCHER
Counselor (Mental Health)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
NATHAN O MORALES
Counselor (Mental Health)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
EVAN RIAN JOHNSON
Nurse Practitioner (Family)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
CASCADE AIDS PROJECT
Clinic/Center (Primary Care)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 278-3890
CRYSTAL NOEL PERRY MSC, MSW
Social Worker (Clinical)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
ALEXA MORRILL DNP, FNP-C
Nurse Practitioner (Family)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699

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 Gracen Tichelaar's NPI number?

The NPI number for Gracen Tichelaar is 1881138618. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Gracen Tichelaar located?

Gracen Tichelaar practices at 2236 SE Belmont St, Portland, OR 97214. The listed phone number is (503) 445-7699.

What is Gracen Tichelaar's specialty?

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

Is Gracen Tichelaar enrolled in Medicare?

Yes. Gracen Tichelaar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gracen Tichelaar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gracen Tichelaar reassigns Medicare benefits to Multnomah County (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gracen Tichelaar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gracen Tichelaar accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Gracen Tichelaar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gracen Tichelaar was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.