Active NPI
Laicee Eichler, CADCII, QMHAI
- Addiction (Substance Use Disorder) Counselor
- Coos Bay, OR
National Provider Identifier
1275047516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 19-12-19
- Practice address
- 1741 Newmark Ave
Coos Bay, OR 97420-4704 - Phone
- (541) 756-3111
- NPI assigned
- Nov 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19-12-19 | OR | Primary |
Addresses
Primary practice location
1741 Newmark Ave
Coos Bay, OR 97420-4704
Mailing address
1405 Spruce St
Myrtle Point, OR 97458-1449
Phone (971) 341-9264
Other practice location 1
1950 Waite St
North Bend, OR 97459-1228
Phone (541) 756-3111
Other practice location 2
155 S Empire Blvd
Coos Bay, OR 97420-3374
Phone (541) 756-3111
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1275047516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 SPRUCE ST",
"city": "MYRTLE POINT",
"state": "OR",
"postal_code": "974581449",
"telephone_number": "971-341-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 NEWMARK AVE",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974204704",
"telephone_number": "541-756-3111"
}
],
"practiceLocations": [
{
"address_1": "1950 Waite St",
"address_purpose": "LOCATION",
"city": "North Bend",
"state": "OR",
"postal_code": "974591228",
"country_code": "US",
"telephone_number": "541-756-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 S Empire Blvd",
"address_purpose": "LOCATION",
"city": "Coos Bay",
"state": "OR",
"postal_code": "974203374",
"country_code": "US",
"telephone_number": "541-756-3111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EICHLER",
"first_name": "LAICEE",
"credential": "CADCII, QMHAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-23",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "19-12-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.