BRENTON DEAN KAHLE (NPI# 1538365978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538365978 |
| Entity Type | Individual |
| Full Name | BRENTON DEAN KAHLE |
| Credential | M.S., MFT |
| Practice Address |
4422 Ne Devils Lake Blvd Suite 2 Lincoln City OR 97367-5000 |
| Mailing Address |
418 Pleasant Ave Astoria OR 97103-5730 |
| Practice Telephone | 5412654196 |
| Practice Fax Number | 5419941882 |
| Mailing Telephone | 5033255731 |
| Mailing Fax Number | 5033255731 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T0501 | OR | Behavioral Health & Social Service Providers |
| Street Address |
4422 NE DEVILS LAKE BLVD SUITE 2 |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609355239 | Stacey Lynn Brewer-dally | Registered Nurse | 4422 Ne Devils Lake Blvd, Lincoln City, OR 97367-5000 | 2018-08-14 |
| 1952814576 | Sarah Beth Wall | Dietitian, Registered | 4422 Ne Devils Lake Blvd, Lincoln City, OR 97367-5000 | 2017-11-06 |
| 1851834477 | Tawni Marie Ferguson | Counselor | 4422 Ne Devils Lake Blvd, Suite 203, Lincoln City, OR 97367-5000 | 2016-11-30 |
| 1841692811 | Lea Krueger | Counselor | 4422 Ne Devils Lake Blvd, Lincoln City, OR 97367-5000 | 2014-09-22 |
| 1366867863 | Amy Lunstedt | Registered Nurse | 4422 Ne Devils Lake Blvd, Suite 2, Lincoln City, OR 97367-5000 | 2014-02-20 |
| 1043573967 | Candise Rose Epperson | Counselor | 4422 Ne Devils Lake Blvd, Lincoln City, OR 97367-5000 | 2012-06-18 |
| 1235492042 | David Scott Corse | Counselor | 4422 Ne Devils Lake Blvd, Suite 2, Lincoln City, OR 97367-5000 | 2012-06-18 |
| 1275804221 | Nathan Lee Fordham | Counselor | 4422 Ne Devils Lake Blvd, Suite 2, Lincoln City, OR 97367-5000 | 2012-01-23 |
| 1922309020 | Elizabeth I Donner | Counselor | 4422 Ne Devils Lake Blvd, Suite 2, Lincoln City, OR 97367-5000 | 2010-11-05 |
| 1841424538 | Benjamin P Meade | Social Worker | 4422 Ne Devils Lake Blvd, Suite 2, Lincoln City, OR 97367-5000 | 2009-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1265662134 | Julie Ramisch | Marriage & Family Therapist | 412 Se Highway 101, Lincoln City, OR 97367-2772 | 2009-07-24 |
| 1871630376 | Jane Beth Margulis | Marriage & Family Therapist | 2015 Nw 39th St, Suite 101, Lincoln City, OR 97367-4824 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382168 | Aja Meadows | Marriage & Family Therapist | 3783 Westleigh St, Eugene, OR 97405-1137 | 2020-09-28 |
| 1902410012 | High Vibe Society | Marriage & Family Therapist | 1582 Santiam Ave, Eugene, OR 97408-6004 | 2020-09-04 |
| 1669082061 | Kelsey Miller | Marriage & Family Therapist | 5515 N Williams Ave, Portland, OR 97217-2452 | 2020-07-31 |
| 1376152967 | Mahvash Azadegan | Marriage & Family Therapist | 16940 Sw Kattegat Dr, Beaverton, OR 97006-8953 | 2020-07-29 |
| 1558979559 | Took Smoot | Marriage & Family Therapist | 7427 Sw Coho Ct Ste 200no5, Tualatin, OR 97062-8618 | 2020-07-16 |
| 1255959631 | Veronica Terese Valdez | Marriage & Family Therapist | 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 | 2020-07-11 |
| 1649896630 | Moving Forward Staying Present LLC | Marriage & Family Therapist | 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 | 2020-06-25 |
| 1700402070 | Devan Larsen | Marriage & Family Therapist | 20526 Mutt Ct, Bend, OR 97701-7935 | 2020-06-22 |
| 1346863677 | Dan Thomas Schmitt | Marriage & Family Therapist | 541 Willamette St Ste 301, Eugene, OR 97401-2692 | 2020-05-21 |
| 1992324909 | E. Kirsten Hughes, Lmft, LLC | Marriage & Family Therapist | 1991 Garden Ave, Eugene, OR 97403-1934 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
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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.