Lisa C Brechbiel, MA
Individual provider Active NPI Mental Health Counselor · Gladstone, OR
NPI 1386105641 · NPPES record last updated Mar 28, 2019
Key facts
- NPI
- 1386105641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- R5639 (OR)
- Practice address
- 510 E Berkeley St
Gladstone, OR 97027-2511 - Phone
- (503) 505-8086
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5639 | OR | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R5639 | OR | Yes |
Addresses
Primary practice location
510 E Berkeley St
Gladstone, OR 97027-2511
Mailing address
510 E Berkeley St
Gladstone, OR 97027-2511
Phone (503) 505-8086
Other providers in Gladstone, OR
- Jason Scott Blei
- Jon Bollweg
- Bernard Dean Bos
- Shawn Bower
- Alexander Brechbiel
- Noelle Brechbiel
- James Lee Briscoe
- Theresa G Brooks
- Amanda Brown
- Breanna Ke Makana Cabana
All providers in Gladstone, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.