WYATT FERNELIUS QMHA
NPI 1982127874
Counselor in Portland, OR

Active since July 21, 2017
2640 NW ALEXANDRA AVE, PORTLAND, OR 97210(503) 731-3978(503) 239-1252 Get Directions Write a Review

NPPES record last updated: July 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wyatt Fernelius Qmha NPPES

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

WYATT FERNELIUS QMHA (NPI 1982127874) is an individual counselor in Portland, Oregon and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1982127874
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameWYATT FERNELIUSCredential: QMHA
Location Address2640 NW ALEXANDRA AVEPortland, OR 97210-1289
Mailing AddressPo Box 10027Portland, OR 97296-0027
Fax(503) 239-1252
Sole ProprietorNo
Enumeration DateJuly 21, 2017
NPI 1982127874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2640 NW ALEXANDRA AVE, Portland, OR 97210

Other Providers at the Same Location NPPES 10

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

Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210

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 Wyatt Fernelius's NPI number?

The NPI number for Wyatt Fernelius is 1982127874. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Wyatt Fernelius located?

Wyatt Fernelius practices at 2640 NW Alexandra Ave, Portland, OR 97210. The listed phone number is (503) 731-3978.

What is Wyatt Fernelius's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Wyatt Fernelius was last updated on July 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.