Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Brenna Movchan, PSS, CRM, QMHA-R

Individual provider Mental Health Counselor · NPI 1861250649

Kelsey Brenna Movchan, PSS, CRM, QMHA-R is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

3636 NE Broadway St
Portland, OR 97232-1823
Phone: (503) 548-0346
Fax: (503) 621-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 111927 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 25-QMHA-R-7290 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 25-CRM-4213 (OR)

Record details

NPI number1861250649
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSS , CRM , QMHA-R
Sole proprietorNo
NPI enumeratedMarch 7, 2024
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

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