Active NPI
Tara Joelle Walker, QMHP, MS
- Mental Health Counselor
- Gresham, OR
National Provider Identifier
1013471549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19-QMHPC-00421
- Practice address
- 355 NW Division St
Gresham, OR 97030-5523 - Phone
- (503) 231-2641
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19-QMHPC-00421 | OR | Primary |
| Mental Health Counselor | 101YM0800X | R12540 | OR |
Addresses
Primary practice location
355 NW Division St
Gresham, OR 97030-5523
Mailing address
211 SE Caruthers St
Portland, OR 97214-4502
Phone (971) 217-9008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-QMHPC-00421 | OR | MD | Mental Health Counselor |
| R12540 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1013471549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SE CARUTHERS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144502",
"telephone_number": "971-217-9008",
"fax_number": "971-260-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 NW DIVISION ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305523",
"telephone_number": "503-231-2641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TARA",
"middle_name": "JOELLE",
"name_prefix": "Ms.",
"credential": "QMHP, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "19-QMHPC-00421",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R12540",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.