Peter Charles Walsh, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2415 SE 43Rd Ave
Portland, OR 97206-1600

Phone

(503) 872-0151

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1023155587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 SE CARLTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025413",
            "telephone_number": "503-234-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SE 43RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061600",
            "telephone_number": "503-872-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "G 00-00-24",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura S Walsh, MD
• Michael L Walsh, L.M.T.
• Michael Louis Walsh
• Misty Walsh, LPC, LPCC
• Paul Jason Walsh
• Riley Walsh
• Riley Walsh
• Sara Michael Walsh, P.T.
• Shelby Walsh, QMHA
• Wendy Jenifer Roller Walsh

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.