MISS KELLI GRACE KNUDSEN MSW, QMHP
NPI 1841700366
Counselor - Mental Health in Portland, OR

Active since October 11, 2017PECOS Enrolled
3550 N INTERSTATE AVE, PORTLAND, OR 97227(800) 813-2000 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 20, 2026, Oct 11, 2017 (2 updates tracked since 2017).

About Miss Kelli Grace Knudsen Msw, Qmhp NPPES

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

MISS KELLI GRACE KNUDSEN MSW, QMHP (NPI 1841700366) is an individual mental health provider in Portland, Oregon, licensed in Oregon (L10639) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1841700366
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS KELLI GRACE KNUDSENCredential: MSW, QMHP
Location Address3550 N INTERSTATE AVEPortland, OR 97227-1097
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2099 · (800) 813-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 11, 2017
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1841700366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in OR · L10639 Licensed in WA · LW61517630
Also ListedSocial WorkerTaxonomy 104100000X · License L10639 (OR)
3550 N INTERSTATE AVE, Portland, OR 97227

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 (PECOS)

Miss Kelli Grace Knudsen Msw, Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597150219
PECOS Enrollment IDI20260604003898
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.

Counselor
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Psychologist (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner (Family)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Dietitian, Registered
3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE
PORTLAND, OR 97227
Pharmacy (Managed Care Organization Pharmacy)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Social Worker (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3550 N INTERSTATE AVE
PORTLAND, OR 97227

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 Kelli Knudsen's NPI number?

The NPI number for Kelli Knudsen is 1841700366. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Where is Kelli Knudsen located?

Kelli Knudsen practices at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (800) 813-2000.

What is Kelli Knudsen's specialty?

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

Is Kelli Knudsen enrolled in Medicare?

Yes. Kelli Knudsen is registered in the Medicare PECOS enrollment system.

What insurance does Kelli Knudsen accept?

Health plans from Kaiser Permanente list Kelli Knudsen 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 Kelli Knudsen was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.