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

Q: 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.

Q: What is Gracen Tichelaar's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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 is a graduate of Other (2022).

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

Medical School CMSOtherGraduated 2022

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gracen Tichelaar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618475286

PECOS Enrollment IDI20250812004121

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.

Other Providers at the Same Location NPPES 12

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

BRIANNE BRINKLEY

Peer Specialist