Brent Reynolds Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRENT REYNOLDS COUNSELING, LLC

Practice address

300 SE Reed Market Rd
Suite 215
Bend, OR 97702-2237

Phone

(541) 306-1107

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Kevin Brent Reynolds, CADC INPI 1174915433

Title

Owner

Phone

(541) 306-9670

Specialties & licenses 1

Addresses

Other names 1

• Hope Recovery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Brent Reynolds, CADC II

  • Addiction (Substance Use Disorder) Counselor
  • Bend, OR
  • NPI 1174915433
  NPD (past) Authorized official

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1417349598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090547",
            "telephone_number": "541-306-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE REED MARKET RD",
            "address_2": "SUITE 215",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022237",
            "telephone_number": "541-306-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT REYNOLDS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-306-9670",
        "authorized_official_credential": "CADC I"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott E Brennan, PA-C
• Stacie L Brennecke
• Nicole Brenneman, LCSW
• Stefanie M Brennen
• Brent R. Wendel, DPM, LLC
• Jack Alan Brewer, MD
• Jonathan Donald Brewer, D.O.
• Kerry Lynn Brewer, LMT
• Madison Ann Brewer, LMT
• Briana Fox Counseling, LLC

• Community/Behavioral Health Agency in Bend, OR
• Providers in Bend, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.