KELSEY BRENNA MOVCHAN PSS, CRM, QMHA-R
NPI 1861250649
Peer Specialist in Portland, OR

Active since March 07, 2024
3636 NE BROADWAY ST, PORTLAND, OR 97232(503) 548-0346(503) 621-0200 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 27, 2026, Apr 24, 2026, Mar 7, 2024 (3 updates tracked since 2024).

About Kelsey Brenna Movchan Pss, Crm, Qmha-r NPPES

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

KELSEY BRENNA MOVCHAN PSS, CRM, QMHA-R (NPI 1861250649) is an individual peer specialist in Portland, Oregon, licensed in Oregon (111927) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1861250649
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELSEY BRENNA MOVCHANCredential: PSS, CRM, QMHA-R
Location Address3636 NE BROADWAY STPortland, OR 97232-1823
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (971) 217-9008 · Fax (971) 260-0355
Fax(503) 621-0200
Sole ProprietorNo
Enumeration DateMarch 7, 2024
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1861250649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 111927
Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 25-CRM-4213 (OR)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 25-QMHA-R-7290 (OR)
3636 NE BROADWAY ST, Portland, OR 97232

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Counselor (Mental Health)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Counselor (Mental Health)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Counselor (Mental Health)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Counselor (Mental Health)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Social Worker (Clinical)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Clinic/Center (Federally Qualified Health Center (FQHC))
3636 NE BROADWAY ST
PORTLAND, OR 97232
Psychiatry & Neurology (Psychiatry)
3636 NE BROADWAY ST
PORTLAND, OR 97232

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 Kelsey Movchan's NPI number?

The NPI number for Kelsey Movchan is 1861250649. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Kelsey Movchan located?

Kelsey Movchan practices at 3636 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 548-0346.

What is Kelsey Movchan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelsey Movchan was last updated on April 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.