Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Brent

Individual provider Mental Health Counselor · NPI 1649897281

Kimberly Brent is a Mental Health Counselor in Roseburg, Oregon. Qualified in 2017, 9 years ago. Practices with Cow Creek Band of Umpqua Tribe of Indians, a 22-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2020
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Practice location Address checks out

500 SE Cass Ave
Roseburg, OR 97470-3103
Phone: (541) 839-1345
Fax: (855) 670-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 548 Se Jackson St, Roseburg, OR 97470-4983 — (541) 440-3532

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1649897281
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2020
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address500 Se Cass Ave, Roseburg, OR 97470-3103

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cow Creek Band Of Umpqua Tribe Of Indians — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Roseburg