KEVIN BRENT REYNOLDS


Address: 300 Se Reed Market Rd, Suite 215, Bend, OR 97702-2237
Phone: 5413061107

KEVIN BRENT REYNOLDS (NPI# 1174915433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174915433
Entity Type Individual
Full Name KEVIN BRENT REYNOLDS
Credential CADC I
Practice Address 300 Se Reed Market Rd
Suite 215
Bend
OR 97702-2237
Mailing Address Po Box 547
Bend
OR 97709-0547
Practice Telephone 5413061107
Mailing Telephone 5413061107
Enumeration Date 2015-02-24
Last Update Date 2015-02-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
11-09-49 OR Behavioral Health & Social Service Providers

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1093937237 Kevin M Reynolds Dentist 208 West 3rd Street, Forest, MS 39074 2007-05-03
1922008051 Kevin Michael Reynolds Pharmacist 101 Hospital Dr, Columbus, NC 28722-6418 2005-07-29

Office Location

Street Address 300 SE REED MARKET RD
SUITE 215
City BEND
State OR
Zip Code 97702-2237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710197645 Michael Robert Hoffman Social Worker 300 Se Reed Market Rd, Ste 205, Bend, OR 97702-2237 2007-05-22
1124514385 Josephine Einsel Behavior Technician 300 Se Reed Market Rd, Bend, OR 97702-2237 2018-07-10
1639663859 Tiffany Lynn Rutherford Behavior Technician 300 Se Reed Market Rd, Bend, OR 97702-2237 2018-06-20
1306239819 Complete Counseling, LLC Social Worker 300 Se Reed Market Rd, Suite 270, Bend, OR 97702-2237 2015-03-08
1417349598 Brent Reynolds Counseling, LLC Community/Behavioral Health 300 Se Reed Market Rd, Suite 215, Bend, OR 97702-2237 2015-02-25
1154638617 Michael Hoffman Counseling Social Worker 300 Se Reed Market Rd, Ste 205, Bend, OR 97702-2237 2010-09-04
1730323874 Carolyn Ferreira Psychologist 300 Se Reed Market Rd, Suite 260, Bend, OR 97702-2237 2009-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676259 Amy Michelle Anderson Counselor 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 2020-10-15
1386259463 Jacob Rehder Counselor 19717 Mt Batchelor Dr, #226, Bend, OR 97702 2020-09-15
1497385215 Capacity Performance Therapy Physical Medicine & Rehabilitation 61125 Lodgepole Dr., Bend, OR 97702 2020-01-21
1962041707 Shift Bend Functional Medicine Family Medicine 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 2019-12-26
1609435049 Praxis Medical Group Inc Orthopaedic Surgery 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 2019-06-10
1013485754 Elana Leah Pesah Social Worker 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 2018-11-12
1104303239 Kyleigh Mcvey Massage Therapist 999 Sw Disk Dr, Bend, OR 97702 2018-07-21
1477042869 Siloe Castaneda Huerta Counselor 1340 Nw Wall, Bend, Or, Bend, OR 97702 2018-05-02
1164910808 Rebecca M Joyce Social Worker 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 2018-04-27
1093217978 Jennifer Bury Acupuncturist 296 Sw Columbia St Ste D1, Bend, OR 97702 2018-03-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447812110 Charles William Hemingway Counselor 59939 Minnetonka Cir, Bend, OR 97702-9196 2019-07-02
1477021970 Bend Care Connection Counselor 300 Se Reed Market Rd Ste 235, Bend, OR 97702-2237 2018-11-02
1134606551 John Long Counselor 908 Ne 4th St Ste 101, Bend, OR 97701-4646 2018-07-27
1114439007 William Van Wyk Counselor 210 Nw Irving Ave Ste 101, Bend, OR 97703-2050 2017-10-31
1548620057 Thomas Turner Counselor 601 Nw Harmon Blvd, Bend, OR 97703-3060 2016-02-25
1124418629 Sharole Beisenherz Counselor 20138 Cirrus Ct, Bend, OR 97702-2331 2015-02-04
1962819862 Lesley Harrington Counselor 1045 Nw Bond St, Suite 211, Bend, OR 97701-2043 2014-07-13
1386064764 Sean Stradley Counselor 593 Nw York Dr, Bend, OR 97703-7264 2014-04-23
1467870048 Elise Louise Davenport Counselor 600 Sw Columbia St, Suite 6210, Bend, OR 97702-1099 2014-04-01
1205264751 Turning Points Recovery Services Counselor 131 Nw Hawthorne Ave Ste 207, Bend, OR 97701-2958 2013-10-19
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Competitor

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City BEND
Zip Code 97702

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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