Individual provider Active NPI

Rachel Cartrette-Moore, CADCII

  • Addiction (Substance Use Disorder) Counselor
  • Redmond, OR
National Provider Identifier
1164897617
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15-09-05 Issued in OR
Practice address
150 SW 4TH St
Redmond, OR 97756-1838
Phone
(541) 699-5998
Fax
(541) 527-4458
NPI assigned
Dec 9, 2015
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15-09-05 OR Primary

Addresses

Primary practice location

150 SW 4TH St
Redmond, OR 97756-1838

Mailing address

150 SW 4TH St
Redmond, OR 97756-1838
Phone (541) 408-8023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging the Gap Treatment Services, LLC Current Accepting new patients
Bridging the Gap Treatment Services, LLC Addiction (Substance Use Disorder) Current Accepting new patients
Pfeifer & Associates Past Accepting new patients
All Care Treatment Center Past Accepting new patients

Locations

150 SW 4th St
Redmond, OR 97756
Phone (458) 899-4769

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1164897617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW 4TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561838",
            "telephone_number": "541-408-8023",
            "fax_number": "541-527-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 4TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561838",
            "telephone_number": "541-699-5998",
            "fax_number": "541-527-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTRETTE-MOORE",
        "first_name": "RACHEL",
        "credential": "CADCII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "15-09-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.