Active NPI
Amotion Psychotherapy LLC
- Marriage & Family Therapist
- Myrtle Creek, OR
National Provider Identifier
1154080109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- AMOTION PSYCHOTHERAPY LLC
- Practice address
- 119 NW 2ND Ave
Myrtle Creek, OR 97457-9138 - Phone
- (541) 897-8377
- NPI assigned
- Dec 16, 2021
- Organization subpart
- No
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Myrtle Creek, OR
- NPI 1083756233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250507003288 | OR | Part B Supplier - Clinic/Group Practice | 6608393145 |
Receives reassigned benefits from 1 practitioner Practice locations: Myrtle Creek, OR |
National Provider Directory
National Provider DirectoryNPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Pugel, LMFT
- Title
- Owner
- Phone
- (541) 897-8377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
119 NW 2ND Ave
Myrtle Creek, OR 97457-9138
Mailing address
200 Windy Ridge LN
Canyonville, OR 97417-8778
Phone (541) 897-8377
NPI Registry JSON
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1154080109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WINDY RIDGE LN",
"city": "CANYONVILLE",
"state": "OR",
"postal_code": "974178778",
"telephone_number": "541-897-8377"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMOTION PSYCHOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-16",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "PUGEL",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-897-8377",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.