Patricia Ann Garrick, LPC
Individual provider Active NPI Mental Health Counselor · Waldport, OR
NPI 1124865365 · NPPES record last updated Dec 20, 2024
Key facts
- NPI
- 1124865365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC.0011174 (CO)
- Practice address
- 920 SW Range Dr
Waldport, OR 97394-9634 - Phone
- (541) 563-3197
- NPI assigned
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Pacific Health Services Inc
Practice addresses (Care Compare)
531 N Hwy 101
Suite a
Depoe Bay, OR 97341-9572
Phone (541) 765-3265
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240812002098 | OR | Practitioner - Mental Health Counselor | 8628516432 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0011174 | CO | MD | Mental Health Counselor |
| C8569 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Pacific Health Services, Inc | Current |
Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Current |
Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Past |
Accepting new patients |
Locations
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244
920 SW Range Dr
Waldport, OR 97394
Phone (541) 563-3197
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C8569 | OR | |
| Mental Health Counselor | 101YM0800X | LPC.0011174 | CO | Yes |
Addresses
Primary practice location
920 SW Range Dr
Waldport, OR 97394-9634
Mailing address
431 29 1/2 Rd
Grand Junction, CO 81504-6478
Phone (970) 250-5265
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pgarrick304391@samhealth.direct-ci.com |
Other providers in Waldport, OR
- Alycia E Cummings
- Lana Marlene Davis
- Seaheart Crumpton Elan
- Shannon Everett
- Lee A Furlong
- Joseph Edward Handley
- William Stuart Hartsell
- Fawn D. Hewitt
- David Wayne Holt
- Terry K Hovey
All providers in Waldport, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.