Active NPI
Lachelle T Garza, LPC
- Professional Counselor
- Roseburg, OR
National Provider Identifier
1245824671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C8048
- Practice address
- 2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214 - Phone
- (541) 677-7200
- Fax
- (541) 229-3309
- NPI assigned
- Feb 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C8048 | OR | Primary |
Addresses
Primary practice location
2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Mailing address
2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone (541) 677-7200
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2570 NW Edenbower Blvd
Roseburg, OR 97471-6214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8048 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Medical Group East, LLC | Current | Accepting new patients | |
| Centennial Medical Group East, LLC | Current | Accepting new patients |
Locations
2570 NW Edenbower Blvd
Ste 100
Roseburg, OR 97471
Phone (541) 677-7200
Interoperability endpoints
- lachelle.garza.1@1334.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Roseburg, OR
- NPI 1134436637
-
- Family Medicine Physician
- Roseburg, OR
- NPI 1417929050
-
- Family Medicine Physician
- Sutherlin, OR
- NPI 1164124111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1245824671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 NW EDENBOWER BLVD STE 100",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974716214",
"telephone_number": "541-677-7200",
"fax_number": "541-229-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 NW EDENBOWER BLVD STE 100",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974716214",
"telephone_number": "541-677-7200",
"fax_number": "541-229-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "LACHELLE",
"middle_name": "T",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-25",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C8048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.