Active NPI
Grace Ellen Baman, LPC
- Professional Counselor
- Gleneden Beach, OR
National Provider Identifier
1245452697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4607
- Practice address
- 517 Ocean View Drive
Gleneden Beach, OR 97388 - Phone
- (541) 868-5074
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | C4607 | OR | Primary |
Addresses
Primary practice location
517 Ocean View Drive
Gleneden Beach, OR 97388
Mailing address
PO Box 521
Gleneden BCH, OR 97388-0521
Phone (541) 868-5074
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4607 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1245452697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 521",
"city": "GLENEDEN BCH",
"state": "OR",
"postal_code": "973880521",
"telephone_number": "541-868-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 OCEAN VIEW DRIVE",
"city": "GLENEDEN BEACH",
"state": "OR",
"postal_code": "97388",
"telephone_number": "541-868-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMAN",
"first_name": "GRACE",
"middle_name": "ELLEN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gleneden Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.