Life'S Intention LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFE'S INTENTION LLC

Practice address

920 SW Frazer Ave Ste 212
Pendleton, OR 97801-2802

Phone

(541) 969-1941

Fax

(541) 429-4941

NPI assigned

Mar 14, 2023

Organization subpart

No

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

Authorized official

Name

Amy Madrigal-Bates, LPCA, CADC II, QMHPNPI 1811449200

Title

Owner

Phone

(541) 969-1941

Specialties & licenses 7

Addresses

Other names 1

• Life's Intention INC Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy R Madrigal-Bates

  • Addiction (Substance Use Disorder) Counselor
  • Pendleton, OR
  • NPI 1811449200
  Medicare reassignment NPD Authorized official
• Chelsie Cierra Hutson

  • Mental Health Counselor
  • Pendleton, OR
  • NPI 1235516089
  Medicare reassignment NPD
• Joshua Fitzgerald, CRM

  • Peer Specialist
  • Pendleton, OR
  • NPI 1700675741
  NPD
• Kamala Kim Tewee, CRM, CADCR

  • Addiction (Substance Use Disorder) Counselor
  • Pendleton, OR
  • NPI 1457163776
  NPD
• Kascee Cressy-Green, CADC I, CRM

  • Addiction (Substance Use Disorder) Counselor
  • Pendleton, OR
  • NPI 1710828587
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1124729314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SW FRAZER AVE STE 212",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012802",
            "telephone_number": "541-969-1941",
            "fax_number": "541-429-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW FRAZER AVE STE 212",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012802",
            "telephone_number": "541-969-1941",
            "fax_number": "541-429-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S INTENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL-BATES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-969-1941",
        "authorized_official_credential": "LPCA, CADC II, QMHP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life's Intention INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Les Is More Mental Health, LLC
• Brian Letts, MD
• Camryn Rae Licurse, LCSW
• Lynn Marie Lieuallen, FNP
• Life'S Intention Back to Basics Inc.
• Lifeways, Inc
• Lynne Lindberg, LCSW
• Kaelyn Rose Lindsay
• Amber P Livingston, CRM
• Sonia Lynn Lloyd

• Clinic/Center in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.