Active NPI
David Levi-Kimbrough, QMHA-R
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1295402790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 26-QMHA-R-8723
- Practice address
- 3636 NE Broadway St
Portland, OR 97232-1823 - Phone
- (503) 548-0346
- Fax
- (503) 232-5959
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 26-QMHA-R-8723 | OR | Primary |
Addresses
Primary practice location
3636 NE Broadway St
Portland, OR 97232-1823
Mailing address
211 SE Caruthers St
Portland, OR 97214-4502
Phone (503) 224-1044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26-QMHA-R-8723 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native American Rehabilitation Assoc Inc | Past | Accepting new patients | |
| Native American Rehabilitation Assoc Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba NARA NW - Bear Lodge
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1619106945
-
dba Nara NW-Gresham
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1942747761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1295402790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SE CARUTHERS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144502",
"telephone_number": "503-224-1044",
"fax_number": "971-260-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321823",
"telephone_number": "503-548-0346",
"fax_number": "503-232-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVI-KIMBROUGH",
"first_name": "DAVID",
"credential": "QMHA-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-24",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "26-QMHA-R-8723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.