Organization Active NPI

Amotion Psychotherapy LLC

  • Marriage & Family Therapist
  • Myrtle Creek, OR
National Provider Identifier
1154080109
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

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

Authorized official

Name
Thomas Pugel, LMFTNPI 1083756233
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

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

{
    "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.

Verify at the official NPI Registry.