1. Home
  2. Directory
  3. Oregon
  4. Bend
  5. Counselor
  6. NPI Profile

KEVIN BRENT REYNOLDS CADC II
NPI 1174915433
Counselor - Addiction (Substance Use Disorder) in Bend, OR

Active since February 24, 2015
401 NE BURNSIDE AVE, BEND, OR 97701(541) 508-8429 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Brent Reynolds Cadc Ii NPPES

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

KEVIN BRENT REYNOLDS CADC II (NPI 1174915433) is an individual addiction (substance use disorder) provider in Bend, Oregon, licensed in Oregon (15-06-21) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1174915433
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN BRENT REYNOLDSCredential: CADC II
Location Address401 NE BURNSIDE AVEBend, OR 97701-5122
Mailing Address401 Ne Burnside AveBend, OR 97701-5122 · (541) 508-8429
Phone(541) 508-8429
Sole ProprietorNo
Enumeration DateFebruary 24, 2015
Last NPPES UpdateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1174915433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 15-06-21
401 NE BURNSIDE AVE, Bend, OR 97701
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

MICHAEL WALL
Peer Specialist
401 NE BURNSIDE AVE
BEND, OR 97701
Deschutes County (541) 797-0098
TRAVIS COOK
Peer Specialist
401 NE BURNSIDE AVE
BEND, OR 97701
Deschutes County (541) 797-0098
BENEDICT IGNATIUS CAUTHORN CRM AND PSSC
Peer Specialist
401 NE BURNSIDE AVE
BEND, OR 97701
Deschutes County (458) 201-1590
GEROLD JAMES TINSLEY
Peer Specialist
401 NE BURNSIDE AVE
BEND, OR 97701
Deschutes County (541) 797-0098
LISA FARWELL
Counselor (Addiction (Substance Use Disorder))
401 NE BURNSIDE AVE
BEND, OR 97701
Deschutes County (541) 797-0098

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 Kevin Reynolds's NPI number?

The NPI number for Kevin Reynolds is 1174915433. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Kevin Reynolds located?

Kevin Reynolds practices at 401 NE Burnside Ave, Bend, OR 97701. The listed phone number is (541) 508-8429.

What is Kevin Reynolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kevin Reynolds was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.