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STEPHANIE ANN BRYAN QMHP
NPI 1770079162
Counselor - Mental Health in Bend, OR

Active since July 09, 2018Opted out of Medicare · through Jan 1, 2028
1195 NW WALL ST, BEND, OR 97703(541) 728-0062 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie Ann Bryan Qmhp NPPES

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

STEPHANIE ANN BRYAN QMHP (NPI 1770079162) is an individual mental health provider in Bend, Oregon and active in the NPI registry since July 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1770079162
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE ANN BRYANCredential: QMHP
Location Address1195 NW WALL STBend, OR 97703-1965
Mailing Address3995 Marcola RdSpringfield, OR 97477-7948 · (541) 726-1465
Phone(541) 728-0062
Sole ProprietorNo
Enumeration DateJuly 9, 2018
✔ NPI 1770079162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1195 NW WALL ST, Bend, OR 97703
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Stephanie Ann Bryan Qmhp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

ELIZABETH CHAMBERS
Counselor (Mental Health)
1195 NW WALL ST
BEND, OR 97703
Deschutes County (541) 728-0062
SHANNON KATHLEEN PUGERUDE MS, QMHP
Peer Specialist
1195 NW WALL ST
BEND, OR 97703
Deschutes County (541) 728-0062
SARA BETH FELEY LMFT
Marriage & Family Therapist
1195 NW WALL ST
BEND, OR 97703
Deschutes County (541) 726-1465
JODI PETERSON
Counselor (Mental Health)
1195 NW WALL ST
BEND, OR 97703
Deschutes County (541) 728-0062

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 Stephanie Bryan's NPI number?

The NPI number for Stephanie Bryan is 1770079162. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Stephanie Bryan located?

Stephanie Bryan practices at 1195 NW Wall St, Bend, OR 97703. The listed phone number is (541) 728-0062.

What is Stephanie Bryan's specialty?

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

Is Stephanie Bryan enrolled in Medicare?

No. Stephanie Bryan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stephanie Bryan accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Stephanie Bryan 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 Stephanie Bryan was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.