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JOSEPH P SULLIVAN QMHA-R
NPI 1902604911
Counselor - Mental Health in Portland, OR

Active since March 05, 2025
1310 SW 17TH AVE, PORTLAND, OR 97201(971) 275-4097(971) 245-3043 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph P Sullivan Qmha-r NPPES

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

JOSEPH P SULLIVAN QMHA-R (NPI 1902604911) is an individual mental health provider in Portland, Oregon, licensed in Oregon (24-QMHA-R-5340) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1902604911
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOSEPH P SULLIVANCredential: QMHA-R
Location Address1310 SW 17TH AVEPortland, OR 97201-2522
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355
Phone(971) 275-4097
Fax(971) 245-3043
Sole ProprietorNo
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1902604911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 24-QMHA-R-5340
1310 SW 17TH AVE, Portland, OR 97201
Open in Google Maps ↗

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.

DONNA M TURQUOISE QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
KAY M COCKERILL QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
JOHN S ALAM QMHA-I
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MRS. BRANDY MICHELLE REMPEL CRM
Counselor (Addiction (Substance Use Disorder))
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
AMY A THOMPSON QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MARK JS TRUJILLO CADCR CRM PSS QMHA-I
Peer Specialist
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
CHARLES ANNICH PSS/CRM
Peer Specialist
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
TONYA M JONES CRM/PSS/QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641

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 Joseph Sullivan's NPI number?

The NPI number for Joseph Sullivan is 1902604911. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Joseph Sullivan located?

Joseph Sullivan practices at 1310 SW 17th Ave, Portland, OR 97201. The listed phone number is (971) 275-4097.

What is Joseph Sullivan'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 Joseph Sullivan was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.