Individual provider Active NPI

Kristen Marie Schuch, MA

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1861547598
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5100 S Macadam Ave Ste 350
Portland, OR 97239-3877
Phone
(503) 231-7854
Fax
(503) 231-8153
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2889 OR
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5100 S Macadam Ave Ste 350
Portland, OR 97239-3877

Mailing address

627 Ipson Dr
Medford, OR 97501-4510
Phone (920) 318-9512

Other identifiers 1

IdentifierTypeStateIssuer
40983200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226003202 OR Practitioner - Mental Health Counselor 2062932577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland DBT Institute IncGroup PAC ID 7911141742, 28 clinicians

Practice addresses (Care Compare)

5100 S Macadam Ave
Suite 350
Portland, OR 97239-3877
Phone (503) 231-7854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C2889ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Portland DBT Institute, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Innovative Counseling Inc Past Accepting new patients

Locations

7 Crater Lake Ave
Ste 7A
Medford, OR 97504

5200 S Macadam Ave
Ste 580
Portland, OR 97239
Phone (503) 231-7854

5100 S Macadam Ave
Ste 350
Portland, OR 97239
Phone (503) 231-7854

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1861547598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 IPSON DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014510",
            "telephone_number": "920-318-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393877",
            "telephone_number": "503-231-7854",
            "fax_number": "503-231-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCH",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2889",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40983200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.