Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gracen Tichelaar

Individual provider Case Manager/Care Coordinator · NPI 1881138618

Gracen Tichelaar is a Mental Health Counselor in Portland, Oregon. Qualified in 2022, 4 years ago. Works from 5 locations. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

2236 SE Belmont St
Portland, OR 97214-2817
Phone: (503) 445-7699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1219 Se Lafayette St Ste 100, Portland, OR 97202-3802 — (503) 369-9756
  • 5415 Sw Westgate Dr, Portland, OR 97221-2409 — (503) 369-9756
  • 14600 Nw Cornell Rd, Portland, OR 97229-5442 — (503) 645-3581
  • 847 Ne 19th Ave, Portland, OR 97232-2684 — (503) 238-0796

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R7856 (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X
Adult Companion Taxonomy 372600000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881138618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2016
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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