Active NPI
Kaliea Yvonne Rendon, QMHA-R
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1316855968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 26-QMHA-R-9102
- Practice address
- 3636 NE Broadway St
Portland, OR 97232-1823 - Phone
- (503) 548-0346
- Fax
- (503) 232-5959
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- 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-9102 | 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 (971) 217-9008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1316855968",
"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": "971-217-9008",
"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": "RENDON",
"first_name": "KALIEA",
"middle_name": "YVONNE",
"credential": "QMHA-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "26-QMHA-R-9102",
"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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.