Stefanie Brosemer, CADCII CRM QMHA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

09-12-53 Issued in OR

Practice address

350 E 11TH Ave
Eugene, OR 97401-3246

Phone

(541) 683-1641

NPI assigned

Jan 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

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.

• Center for Family Development, Inc.

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1265609184

  Addiction (Substance Use Disorder)

  NPD (past)
• Center for Family Development, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Eugene, OR
  • NPI 1538150388

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1255797510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013246",
            "telephone_number": "541-683-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013246",
            "telephone_number": "541-683-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1258 High St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013238",
            "country_code": "US",
            "telephone_number": "541-342-8437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSEMER",
        "first_name": "STEFANIE",
        "name_prefix": "Mrs.",
        "credential": "CADCII CRM QMHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-02",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "09-12-53",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Jane Brooks, LCSW
• Stephanie Lynn Brooks, A.T.C.
• Zachary Brooks, DPM
• Lola Madrone Broomberg, LPC
• Rosalie Broomfield, LCSW
• Kymberlea Kirstin Broten, BS
• Donald Ray Brothers III, PSS, BA, THW
• Kendra Alison Brott, MAT, MS
• William Brotzman
• Amanda Jo Broughton, BCBA, LBA-OR

• Addiction (Substance Use Disorder) Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.