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STACIE L BRENNECKE
NPI 1033404033
Counselor in Bend, OR

Active since June 17, 2011
20370 POE SHOLES DR, BEND, OR 97701(541) 318-1377 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacie L Brennecke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE L BRENNECKE (NPI 1033404033) is an individual counselor in Bend, Oregon and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1033404033
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTACIE L BRENNECKE
Location Address20370 POE SHOLES DRBend, OR 97701-7938
Mailing Address20370 Poe Sholes DrBend, OR 97701-7938 · (541) 318-1377
Phone(541) 318-1377
Sole ProprietorYes
Enumeration DateJune 17, 2011
✔ NPI 1033404033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
20370 POE SHOLES DR, Bend, OR 97701
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TELECARE CORPORATION
Psychiatric Residential Treatment Facility
20370 POE SHOLES DR
BEND, OR 97701
Deschutes County (541) 318-1377
SUMMER DAWN MYLLYMAKI RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
20370 POE SHOLES DR
BEND, OR 97701
Deschutes County (541) 318-1377
DANIEL PATRICK MCGEE QMHA
Counselor
20370 POE SHOLES DR
BEND, OR 97701
Deschutes County (541) 318-1377
KATHRYN SHREVE
Counselor
20370 POE SHOLES DR
BEND, OR 97701
Deschutes County (541) 318-1377
SHERRY CORRADINI FISHER
Counselor (Mental Health)
20370 POE SHOLES DR
BEND, OR 97701
Deschutes County (541) 318-1377
REX ALAN AUKER QMHA
Counselor (Mental Health)
20370 POE SHOLES DR
BEND, OR 97701
Deschutes County (541) 318-1377
SUSAN BATES RN
Registered Nurse
20370 POE SHOLES DR
BEND, OR 97701
Deschutes County (541) 318-1377
MS. TINA C SMITH QMHA
Counselor (Mental Health)
20370 POE SHOLES DR
BEND, OR 97701
Deschutes County (541) 318-1377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Brennecke's NPI number?

The NPI number for Stacie Brennecke is 1033404033. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Stacie Brennecke located?

Stacie Brennecke practices at 20370 Poe Sholes Dr, Bend, OR 97701. The listed phone number is (541) 318-1377.

What is Stacie Brennecke's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Stacie Brennecke was last updated on June 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.