Active NPI
Laurie Ann Bachman-Motter, CADC-R, CRM
- Addiction (Substance Use Disorder) Counselor
- Grants Pass, OR
National Provider Identifier
1699282160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- T-19-405
- Practice address
- 109 NE Manzanita Ave
Grants Pass, OR 97526-1400 - Phone
- (541) 479-8847
- Fax
- (541) 471-2679
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Health Maintenance Organization
- Grants Pass, OR
- NPI 1942694336
-
- Addiction (Substance Use Disorder) Counselor
- Grants Pass, OR
- NPI 1871703702
NPD (past) ADDICTION (SUBSTANCE USE DISORDER)
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-19-405 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| THW2412 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grants Pass Management Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Choices Counseling | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | THW2412 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-19-405 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
109 NE Manzanita Ave
Grants Pass, OR 97526-1400
Mailing address
109 NE Manzanita Ave
Grants Pass, OR 97526-1400
Phone (541) 479-8847
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500740449 | Medicaid | OR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2019.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1699282160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 NE MANZANITA AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261400",
"telephone_number": "541-479-8847",
"fax_number": "541-471-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 NE MANZANITA AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261400",
"telephone_number": "541-479-8847",
"fax_number": "541-471-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN-MOTTER",
"first_name": "LAURIE",
"middle_name": "ANN",
"credential": "CADC-R, CRM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "THW2412",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "T-19-405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500740449",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.