Individual provider · Type 1 NPI

Kelsey Brenna Movchan, PSS, CRM, QMHA-R

Peer Specialist · Portland, OR

NPI number 1861250649 Active

Practice location

3636 NE Broadway St
Portland, OR 97232-1823

Call (503) 548-0346 Map

Fax (503) 621-0200

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X25-QMHA-R-7290 (OR)
Peer Specialist Primary 175T00000X111927 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X25-CRM-4213 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

13 other providers at this address

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About NPI 1861250649

Kelsey Brenna Movchan, PSS, CRM, QMHA-R's National Provider Identifier is 1861250649, issued on Mar 7, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Apr 27, 2026.