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BREN WAYSIDE QMHA-II, CRM-II, BSW
NPI 1407376932
Counselor - Mental Health in Medford, OR

Active since June 26, 2017
140 S HOLLY ST, MEDFORD, OR 97501(541) 774-8200 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2023, May 10, 2023, Jun 26, 2017 (3 updates tracked since 2017).

About Bren Wayside Qmha-ii, Crm-ii, Bsw NPPES

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

BREN WAYSIDE QMHA-II, CRM-II, BSW (NPI 1407376932) is an individual mental health provider in Medford, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1407376932
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBREN WAYSIDECredential: QMHA-II, CRM-II, BSW
Location Address140 S HOLLY STMedford, OR 97501-3113
Mailing Address140 S Holly StMedford, OR 97501-3113 · (541) 774-8200
Phone(541) 774-8200
Sole ProprietorNo
Enumeration DateJune 26, 2017
Last NPPES UpdateSeptember 24, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1407376932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · PROFESSIONALLICENSE
140 S HOLLY ST, Medford, OR 97501
Open in Google Maps ↗

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.

MARLENE SADLER
Registered Nurse (Community Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8133
OREGON PAIN ADVISORS, LLC
Health Educator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8241
ANABEL REYES
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-3890
JENNIFER BETH WILSON
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 770-7741
JESSICA RAE LENFORD
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 770-3489
JACOB SPILMAN
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8209
ASHLEY FITE
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8200
DEBRA DEMPSEY
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 770-3469

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 Bren Wayside's NPI number?

The NPI number for Bren Wayside is 1407376932. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Bren Wayside located?

Bren Wayside practices at 140 S Holly St, Medford, OR 97501. The listed phone number is (541) 774-8200.

What is Bren Wayside's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bren Wayside was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.