Individual provider Active NPI

Micki Bachand, LPC

  • Professional Counselor
  • Corvallis, OR
National Provider Identifier
1376875740
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC5837 Issued in OR
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

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20250923002183 OR Practitioner - Mental Health Counselor 9739684655 Practice locations: Corvallis, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2328ORMDProfessional Counselor
LPCC5837ORMDProfessional 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

Verify at the official NPI Registry.