Brinna Keillor, MC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

516 SW 13TH St Ste 201
Bend, OR 97702-3442

Phone

(541) 640-3031

Fax

(541) 550-1495

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Peak Wellness Services

  • Clinical Psychologist
  • Bend, OR
  • NPI 1134999428
  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1760112155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-640-3031",
            "fax_number": "541-550-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-640-3031",
            "fax_number": "541-550-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILLOR",
        "first_name": "BRINNA",
        "credential": "MC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OR",
            "license": "516897",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S Kebler, M.D.
• Alexandra Keel
• Allyson Keenan
• James Henry Keene, M.D.
• Taylor Grace Keenen, M.ED, BCBA
• Anita Juliet Keimel, CCHI
• Nicole Marie Keith, MA
• Laura Keithly, CSWA, LSSW
• Keldsen Family Dental Care
• Christopher Peder Keldsen, D.M.D.

• Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.