Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ALYSSA BRIN LPC, CN
NPI 1306124276
Counselor - Professional in Portland, OR

Active since July 26, 2011PECOS Enrolled
12636 SE STARK ST BLDG J, PORTLAND, OR 97233(503) 253-4600 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Dec 7, 2023, Feb 19, 2019 (3 updates tracked since 2019).

About Alyssa Brin Lpc, Cn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA BRIN LPC, CN (NPI 1306124276) is an individual professional provider in Portland, Oregon, licensed in Oregon (C7809) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306124276
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALYSSA BRINCredential: LPC, CN
Location Address12636 SE STARK ST BLDG JPortland, OR 97233-1058
Mailing Address12636 Se Stark St Bldg JPortland, OR 97233-1058 · (503) 253-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 26, 2011
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1306124276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C7809
Also ListedNutritionistTaxonomy 133N00000X · License NU60324012 (WA)
12636 SE STARK ST BLDG J, Portland, OR 97233

Other Names 1

Former Name (1)Alyssa C. Pelham Cn, Lmhca, Lpc-assoc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alyssa Brin Lpc, Cn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547707200
PECOS Enrollment IDI20240731001873
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Psychiatry & Neurology (Psychiatry)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Brin's NPI number?

The NPI number for Alyssa Brin is 1306124276. It was assigned to this individual provider in the NPPES registry on July 26, 2011. The provider is also known as Alyssa C. Pelham Cn, Lmhca, Lpc-Assoc.

Where is Alyssa Brin located?

Alyssa Brin practices at 12636 SE Stark St Bldg J, Portland, OR 97233. The listed phone number is (503) 253-4600.

What is Alyssa Brin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alyssa Brin enrolled in Medicare?

Yes. Alyssa Brin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alyssa Brin accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Alyssa Brin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alyssa Brin was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.