Individual provider Active NPI

Thomas Pugel, LMFT

  • Marriage & Family Therapist
  • Myrtle Creek, OR
National Provider Identifier
1083756233
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1530 Issued in OR
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

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
37978CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amotion Psychotherapy LLC Marriage & Family Therapist CurrentSince Mar 29, 2025 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.

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

Verify at the official NPI Registry.