Active NPI
Micki Bachand, LPC
- Professional Counselor
- Corvallis, OR
National Provider Identifier
1376875740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC5837
- Practice address
- 529 NW 4TH St
Corvallis, OR 97330 - Phone
- (503) 936-6163
- Fax
- (541) 636-2452
- NPI assigned
- Feb 9, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06-11-03 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | C2328 | OR | |
| Professional Counselor | 101YP2500X | C5837 | OR | |
| Professional Counselor | 101YP2500X | LPCC5837 | OR | Primary |
Addresses
Primary practice location
529 NW 4TH St
Corvallis, OR 97330
Mailing address
5060 SW Philomath Blvd # 218
Corvallis, OR 97333
Phone (503) 936-6163
Other names 1
- Mrs. Michelle Marie Harbach-Bachand
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250923002183 | OR | Practitioner - Mental Health Counselor | 9739684655 | Practice locations: Corvallis, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2328 | OR | MD | Professional Counselor |
| LPCC5837 | OR | MD | Professional Counselor |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1420 NW 14TH PL
Corvallis, OR 97330-4624
5060 SW Philomath Blvd
Suite 218
Corvallis, OR 97333-1044
529 NW 4TH St
Corvallis, OR 97330-6410
Phone (503) 936-6163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1376875740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 SW PHILOMATH BLVD # 218",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97333",
"telephone_number": "503-936-6163",
"fax_number": "541-636-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 NW 4TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97330",
"telephone_number": "503-936-6163",
"fax_number": "541-636-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHAND",
"first_name": "MICKI",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2024-02-22",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "06-11-03",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2328",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5837",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "LPCC5837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "HARBACH-BACHAND",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.