BRENT REYNOLDS COUNSELING, LLC (NPI# 1417349598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417349598 |
| Entity Type | Organization |
| Organization Name | BRENT REYNOLDS COUNSELING, LLC |
| Other Organization Name | HOPE RECOVERY |
| 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 | 2015-02-25 |
| Last Update Date | 2015-02-25 |
| Authorized Official Name | KEVIN BRENT REYNOLDS (OWNER) |
| Authorized Official Telephone | 5413069670 |
| Authorized Official Credential | CADC I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | OR | Agencies |
| Other Name | Type Code |
|---|---|
| Hope Recovery | Doing Business As Name - Organization |
| Street Address |
300 SE REED MARKET RD SUITE 215 |
| City | BEND |
| State | OR |
| Zip Code | 97702-2237 |
| 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 |
| 1174915433 | Kevin Brent Reynolds | Counselor | 300 Se Reed Market Rd, Suite 215, Bend, OR 97702-2237 | 2015-02-24 |
| 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 |
| 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 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598303315 | Mountain River Therapy, LLC | Community/Behavioral Health | 20652 Couples Ln, Bend, OR 97702-2983 | 2019-12-11 |
| 1982172896 | River Bend Therapy, LLC | Community/Behavioral Health | 147 Sw Shevlin Hixon Dr Ste 201, Bend, OR 97702-1137 | 2018-11-08 |
| 1962881706 | Bend Therapist, LLC | Community/Behavioral Health | 2140 Nw Clearwater Dr, Bend, OR 97701-7013 | 2015-05-27 |
| 1457789562 | New Vision West, Inc | Community/Behavioral Health | 2120 Ne Bear Creek Rd, Bend, OR 97701-7184 | 2013-10-29 |
| 1396010773 | Bend Family Therapy, LLC | Community/Behavioral Health | 2660 Ne Highway 20 Ste 610, #333, Bend, OR 97701-6403 | 2012-03-18 |
| 1013142272 | Liz Hinchliffe LLC | Community/Behavioral Health | 1012 Nw Wall St Ste 225, Bend, OR 97701-2034 | 2009-05-18 |
| 1467695940 | Corconcepts Counseling & Enrichment Center | Community/Behavioral Health | 1034 Ne 7th St, Suite A, Bend, OR 97701-4511 | 2009-04-13 |
| 1477729986 | Mcguire Ellingboe, LLP | Community/Behavioral Health | 888 Nw Hill St, Suite 1, Bend, OR 97701-2766 | 2008-05-05 |
| 1184800187 | Resolutions Creative Conflict Management, Inc | Community/Behavioral Health | 2052 Ne 4th St, Bend, OR 97701-3825 | 2008-01-21 |
| 1396877908 | Pfeifer & Associates | Community/Behavioral Health | 23 Nw Greenwood Ave, Bend, OR 97701-2078 | 2007-03-09 |
| Find all providers in BEND | ||||
Please comment or provide details below to improve the information on BRENT REYNOLDS COUNSELING, LLC.
| 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.