Travis Scott Petchell, QMHA-R, PWS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

25-QMHA-R-7767 Issued in OR

Practice address

1438 SE Division St
Portland, OR 97202-1140

Phone

(503) 224-1044

Fax

(971) 260-0355

NPI assigned

May 3, 2024

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1629825906",
    "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": "503-224-1044",
            "fax_number": "971-260-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021140",
            "telephone_number": "503-224-1044",
            "fax_number": "971-260-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETCHELL",
        "first_name": "TRAVIS",
        "middle_name": "SCOTT",
        "credential": "QMHA-R, PWS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000108531",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "25-QMHA-R-7767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500843961",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vera Pervitsky, PHARMD, BCOP, BCPS
• Sephanie Rachel Pesa, AU.D.
• Radu Pescarus, MD
• Laura Pestana, DO
• Brandy Shay Pestka
• Aura Petcu, NP
• Julia Peteet
• Bradley James Petek, MD
• Peter H Addy LLC
• Alfred Peter, DC

• 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 Feb 26, 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.

Verify at the official NPI Registry.