Kelsey Brenna Movchan, PSS, CRM, QMHA-R is a
Peer Specialist based in Portland, Oregon. Kelsey Brenna Movchan is licensed to practice in Oregon (license number 111927) and her current practice location is
3636 Ne Broadway St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 548-0346.
NPI number for Kelsey Brenna Movchan is 1861250649 and her current mailing address is 211 Se Caruthers St, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861250649.
Healthcare Provider's Profile
| Full Name | Kelsey Brenna Movchan |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 3636 Ne Broadway St, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861250649
- Provider Enumeration Date: 03/07/2024
- Last Update Date: 04/27/2026
Medical Identifiers
Medical identifiers for Kelsey Brenna Movchan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861250649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 25-QMHA-R-7290 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 111927 (Oregon) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 25-CRM-4213 (Oregon) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Brenna Movchan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kelsey Brenna Movchan, PSS, CRM, QMHA-R 211 Se Caruthers St, Portland, OR 97214-4502 Ph: (971) 217-9008 | Kelsey Brenna Movchan, PSS, CRM, QMHA-R 3636 Ne Broadway St, Portland, OR 97232-1823 Ph: (503) 548-0346 |
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