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RICHARD J BREUNISSEN QMHP-R
NPI 1568079929
Counselor - Mental Health in Portland, OR

Active since September 29, 2020
1438 SE DIVISION ST, PORTLAND, OR 97202(503) 548-0346(503) 232-5959 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2021, Nov 17, 2020, Sep 29, 2020 (3 updates tracked since 2020).

About Richard J Breunissen Qmhp-r NPPES

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

RICHARD J BREUNISSEN QMHP-R (NPI 1568079929) is an individual mental health provider in Portland, Oregon, licensed in Oregon (20-QMHP-R-0454) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1568079929
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRICHARD J BREUNISSENCredential: QMHP-R
Location Address1438 SE DIVISION STPortland, OR 97202-1140
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 548-0346
Fax(503) 232-5959
Sole ProprietorNo
Enumeration DateSeptember 29, 2020
Last NPPES UpdateMarch 2, 20213 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1568079929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 20-QMHP-R-0454
1438 SE DIVISION ST, Portland, OR 97202
Open in Google Maps ↗

Other Identifiers 1

Medicaid500785210OR

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.

AMY MARIE ELNESS CADC II/QMHA-I
Counselor (Addiction (Substance Use Disorder))
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (971) 261-0544
TEMIKA OKEGBE
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (971) 261-0544
HEIDI M NICEWANDER CADC III/LCSW
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346
MARIAH F PEEBLES MSW
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346
KAREN P MOREHOUSE QMHP-C
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346
VANDI HUSTON PWS, CRM
Peer Specialist
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346
MARSHAL JOSEPH GREGORY GAMBEE QMHA-R
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (971) 261-0544
KARLI A MCNUTT QMHA-R
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346

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 Richard Breunissen's NPI number?

The NPI number for Richard Breunissen is 1568079929. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Richard Breunissen located?

Richard Breunissen practices at 1438 SE Division St, Portland, OR 97202. The listed phone number is (503) 548-0346.

What is Richard Breunissen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Richard Breunissen was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.