BRENT ALAN BERNARD (NPI# 1700287901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700287901 |
| Entity Type | Individual |
| Full Name | BRENT ALAN BERNARD |
| Credential | M.ED. LPCC-S |
| Practice Address |
515 Windsor Park Dr Dayton OH 45459-4112 |
| Practice Telephone | 5133121532 |
| Practice Fax Number | 9377239888 |
| Mailing Telephone | 5133121532 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
E3509 | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
E3509 | OH | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
E3509 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0164999 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 99 S Main St, Centerville, OH 454582367 | 5133121532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013257005 | Brent Alexander Bernard | Physician Assistant | 4405 North Holland Sylvania Rd, Toledo, OH 43623 | 2013-02-27 |
| Street Address |
515 WINDSOR PARK DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45459-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174925762 | Keep Moving Forward Counseling & Consulting LLC | Counselor | 515 Windsor Park Dr, Dayton, OH 45459-4112 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302188 | Five Rivers Health Centers | Counselor | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-09-30 |
| 1316571748 | Kristy Sue Dillon | Counselor | 8801 N Main St, Dayton, OH 45415-1385 | 2020-02-25 |
| 1952892135 | New Hope New Liberty Counseling, Pllc | Counselor | 410 E Waring St, Dayton, TX 77535-1833 | 2018-05-23 |
| 1427588060 | Daniel Wick | Counselor | 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 | 2017-06-15 |
| 1003341744 | Chuckeia Folley | Counselor | 508 Heather Dr Apt 3, 3, Dayton, OH 45405-1731 | 2017-05-01 |
| 1205374055 | Melissa Deaton Cook | Counselor | Suite D 206 Main Street, Dayton, VA 22821-0910 | 2017-02-01 |
| 1851837041 | Jessica White | Counselor | 727 Grafton Ave, Dayton, OH 45406-5256 | 2017-01-11 |
| 1093186561 | Scott Campbell | Counselor | 11 W Monument Ave, Ste 310, Dayton, OH 45402-1274 | 2015-10-09 |
| 1770959751 | Debbie Lyn Gunnels | Counselor | 327 Misty Oaks Ct, Dayton, OH 45415-1370 | 2015-08-13 |
| 1750775110 | Nicole C Duff | Counselor | Six Patterson Blvd, Sbhi- Cam, Dayton, OH 45402 | 2015-03-24 |
| Find all providers in DAYTON | ||||
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| 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.