Amanda Mae Equall Lacombe, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

290 Moyer LN NW
Salem, OR 97304-3822

Phone

(503) 370-8990

Fax

(503) 363-4214

NPI assigned

Sep 12, 2007

Last updated

Feb 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Marriage and Family Therapist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R. Scott Babe MD LLCGroup PAC ID 6204220098, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R. Scott Babe, MD, LLC

  dba Triskelion

  • Psychiatry Physician
  • Salem, OR
  • NPI 1114337409
  Medicare reassignment Care Compare group NPD
• Easter Seals Oregon

  • Rehabilitation Clinic/Center
  • Salem, OR
  • NPI 1922072487
  NPD (past)
• Easter Seals Oregon Children's Therapy Center

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1720315120
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1144415191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MOYER LN NW",
            "address_2": "PO BOX 5193",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043822",
            "telephone_number": "503-370-8990",
            "fax_number": "503-363-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MOYER LN NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043822",
            "telephone_number": "503-370-8990",
            "fax_number": "503-363-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EQUALL LACOMBE",
        "first_name": "AMANDA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195164",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Domonique Enriquez
• Kelsey Entz
• Kiana G Eoas, COTA/L
• Edward Louis Epifani, DMD
• Johanna Eppelsheimer
• Equanimity Care
• Ashley Erdman, CRM
• Jessica Ann Erfurt, THW
• Anne Marie Erickson, PMHNP-BC
• Brandon Reed Erickson, MD, FACS

• Marriage & Family Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.

Verify at the official NPI Registry.