Individual provider Active NPI

Haley Brink, LMFT

  • Marriage & Family Therapist
  • Bend, OR
National Provider Identifier
1932501731
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T3017 Issued in OR
Practice address
2855 NW Crossing Dr Ste 212
Bend, OR 97703-7049
Phone
(541) 223-9580
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T3017 OR Primary

Addresses

Primary practice location

2855 NW Crossing Dr Ste 212
Bend, OR 97703-7049

Mailing address

2855 NW Crossing Dr Ste 212
Bend, OR 97703-7049
Phone (541) 223-9580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T3017ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Haley Brink Therapy LLC Marriage & Family Therapist CurrentSince Nov 30, 2025 Accepting new patients

Locations

2855 NW Crossing Dr
Ste 212
Bend, OR 97703
Phone (541) 223-9580

Organizations & group practices 1

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1932501731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 NW CROSSING DR STE 212",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037049",
            "telephone_number": "541-223-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 NW CROSSING DR STE 212",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037049",
            "telephone_number": "541-223-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "HALEY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T3017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.