Individual provider Active NPI

Julie Ramisch, PH.D.

  • Marriage & Family Therapist
  • Corvallis, OR
National Provider Identifier
1265662134
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1160 Issued in OR
Practice address
260 SW Madison Ave Ste 107
Corvallis, OR 97333-4728
Phone
(541) 557-1892
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006414 MI
Marriage & Family Therapist 106H00000X 166.000892 IL
Marriage & Family Therapist 106H00000X T1160 OR Primary

Addresses

Primary practice location

260 SW Madison Ave Ste 107
Corvallis, OR 97333-4728

Mailing address

PO Box 2298
Corvallis, OR 97339-2298
Phone (805) 570-4160

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410003846 OR Practitioner - Marriage and Family Therapist 8729426671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Center for Collaborative HealthGroup PAC ID 7810335767, 4 clinicians

Practice addresses (Care Compare)

923 NW Grant Ave
Corvallis, OR 97330-4503
Phone (541) 557-1892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
166.000892ILMDMarriage & Family Therapist
4101006414MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Center for Collaborative Health CurrentSince Jan 29, 2024 Accepting new patients

Locations

923 NW Grant Ave
Corvallis, OR 97330
Phone (541) 313-5847

260 SW Madison Ave
Ste 107
Corvallis, OR 97333
Phone (541) 334-3574

412 SE Highway 101
Lincoln City, OR 97367
Phone (541) 557-1892

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1265662134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2298",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392298",
            "telephone_number": "805-570-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SW MADISON AVE STE 107",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334728",
            "telephone_number": "541-557-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMISCH",
        "first_name": "JULIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006414",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000892",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.