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BENNETT ALEXANDER BROCK
NPI 1326866864
Counselor in Eugene, OR

Active since October 02, 2024
440 MAXWELL RD, EUGENE, OR 97404(541) 321-0872 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, May 31, 2025, Oct 2, 2024 (3 updates tracked since 2024).

About Bennett Alexander Brock NPPES

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

BENNETT ALEXANDER BROCK (NPI 1326866864) is an individual counselor in Eugene, Oregon, licensed in Oregon (QMHP-R-3693) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1326866864
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBENNETT ALEXANDER BROCK
Location Address440 MAXWELL RDEugene, OR 97404-2355
Mailing AddressPo Box 827Eugene, OR 97440-0827 · (541) 321-0872
Phone(541) 321-0872
Sole ProprietorYes
Enumeration DateOctober 2, 2024
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1326866864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · QMHP-R-3693
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.
440 MAXWELL RD, Eugene, OR 97404
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DANIELLE M WALSH
Counselor (Mental Health)
440 MAXWELL RD
EUGENE, OR 97404
Lane County (509) 758-3341
ROXY UNDERWOOD CHW, BS
Community Health Worker
440 MAXWELL RD
EUGENE, OR 97404
Lane County (541) 321-0872
TRANSPONDER
Community/Behavioral Health
440 MAXWELL RD
EUGENE, OR 97404
Lane County (541) 321-0872

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 Bennett Brock's NPI number?

The NPI number for Bennett Brock is 1326866864. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Bennett Brock located?

Bennett Brock practices at 440 Maxwell Rd, Eugene, OR 97404. The listed phone number is (541) 321-0872.

What is Bennett Brock'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 Bennett Brock was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.