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KIMBERLY BRENT
NPI 1649897281
Counselor - Mental Health in Roseburg, OR

Active since June 30, 2020PECOS EnrolledAccepts Medicare Assignment
500 SE CASS AVE, ROSEBURG, OR 97470(541) 839-1345(855) 670-1791 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2024, Jun 30, 2020 (2 updates tracked since 2020).

About Kimberly Brent NPPES

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

KIMBERLY BRENT (NPI 1649897281) is an individual mental health provider in Roseburg, Oregon and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roseburg, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649897281
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY BRENT
Location Address500 SE CASS AVERoseburg, OR 97470-3103
Mailing Address500 Se Cass AveRoseburg, OR 97470-3103 · (541) 838-1345 · Fax (541) 670-1791
Phone(541) 839-1345
Fax(855) 670-1791
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 30, 2020
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1649897281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
500 SE CASS AVE, Roseburg, OR 97470
Open in Google Maps ↗

Secondary Practice Location 1

Location 1548 SE Jackson StRoseburg, OR 97470-4983 · Phone (541) 440-3532 · Fax (541) 440-3554

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Brent is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072044031
PECOS Enrollment IDI20241001002093
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Brent reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cow Creek Band Of Umpqua Tribe Of Indians
2.1 mi
Federally Qualified Health Center (FQHC)
2589 NW EDENBOWER BLVD
Roseburg, OR 97471
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
NPI 1063502714 (541) 672-8533

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

INTEGRICARE, INC.
Hospice Care, Community Based
500 SE CASS AVE, SUITE 260
ROSEBURG, OR 97470
Douglas County (541) 440-2583
INTEGRICARE, INC.
Home Health
500 SE CASS AVE, SUITE 260
ROSEBURG, OR 97470
Douglas County (541) 440-2583

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 Kimberly Brent's NPI number?

The NPI number for Kimberly Brent is 1649897281. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Kimberly Brent located?

Kimberly Brent practices at 500 SE Cass Ave, Roseburg, OR 97470. The listed phone number is (541) 839-1345.

What is Kimberly Brent's specialty?

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

Is Kimberly Brent enrolled in Medicare?

Yes. Kimberly Brent is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kimberly Brent's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Brent reassigns Medicare benefits to Cow Creek Band Of Umpqua Tribe Of Indians (Roseburg, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Brent's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Brent accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Kimberly Brent as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Brent was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.