Abigail Bruntlett, LPC
Counselor, Mental Health in Bend, Oregon
1760918619- Practice location
- 1005 SW Disk Dr Ste 104, Bend, OR 97702-3385
- Phone
- 541-316-5574
- Fax
- —
- Last updated
- December 20, 2022
Abigail Bruntlett, LPC is a Counselor, Mental Health based in Bend, OR. Abigail Bruntlett, LPC holds the professional credentials of LPC. The NPI number for Abigail Bruntlett, LPC is 1760918619 and holds license No. C7022 (OR). The current practice location address is 1005 SW Disk Dr Ste 104, Bend, OR 97702-3385 and the office can be reached by phone at 541-316-5574. The NPI was assigned on May 11, 2017 and the record was last updated in NPPES on December 20, 2022.
●Provider Profile Details
- NPI Number
- 1760918619
- Provider Name
- Abigail Bruntlett
- Credential
- LPC
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Enumeration Date
- May 11, 2017
- Last Update Date
- December 20, 2022
- Certification Date
- December 20, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1005 SW Disk Dr Ste 104
Bend, OR 97702-3385 - City
- Bend
- State
- Oregon
- ZIP
- 97702-3385
- Country
- US
- Phone Number
- 541-316-5574
✉Business Mailing Address
- Address
- Po Box 535
Bend, OR 97709-0535 - City
- Bend
- State
- OR
- ZIP
- 97709-0535
- Phone Number
- 541-214-4291
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Professional | 101YP2500X | No | C7022 | OR |
| Counselor, Mental Health | 101YM0800X | Yes | C7022 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Bend, OR
View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Abigail Bruntlett, LPC?
The NPI number of Abigail Bruntlett, LPC is 1760918619. It was assigned on May 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Abigail Bruntlett, LPC?
Abigail Bruntlett, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. C7022 (OR).
Where does Abigail Bruntlett, LPC practice?
The practice location is 1005 SW Disk Dr Ste 104, Bend, OR 97702-3385. The office can be reached at 541-316-5574 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760918619 directly on the NPPES registry website at npiregistry.cms.hhs.gov.