Active NPI
Thomas Pugel, LMFT
- Marriage & Family Therapist
- Myrtle Creek, OR
National Provider Identifier
1083756233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1530
- Practice address
- 119 NW 2ND Ave
Myrtle Creek, OR 97457-9138 - Phone
- (541) 897-8377
- Fax
- (541) 897-8370
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1530 | OR | Primary |
| Marriage & Family Therapist | 106H00000X | 37978 | CA |
Addresses
Primary practice location
119 NW 2ND Ave
Myrtle Creek, OR 97457-9138
Mailing address
PO Box 594
Myrtle Creek, OR 97457-0058
Phone (541) 897-8377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250610003171 | OR | Practitioner - Marriage and Family Therapist | 9739594102 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
119 NW 2ND Ave
Myrtle Creek, OR 97457-9138
Phone (541) 897-8377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37978 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amotion Psychotherapy LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
11 SW Brantley Dr
Winston, OR 97496
Phone (541) 679-0366
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Myrtle Creek, OR
- NPI 1154080109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1083756233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 594",
"city": "MYRTLE CREEK",
"state": "OR",
"postal_code": "974570058",
"telephone_number": "541-897-8377",
"fax_number": "541-897-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 NW 2ND AVE",
"city": "MYRTLE CREEK",
"state": "OR",
"postal_code": "974579138",
"telephone_number": "541-897-8377",
"fax_number": "541-897-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGEL",
"first_name": "THOMAS",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1530",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "37978",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Creek, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.