Individual provider Active NPI

Laurie Ann Bachman-Motter, CADC-R, CRM

  • Addiction (Substance Use Disorder) Counselor
  • Grants Pass, OR
National Provider Identifier
1699282160
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T-19-405 Issued in OR
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.

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

LicenseStateTypeSpecialty
T-19-405ORMDAddiction (Substance Use Disorder) Counselor
THW2412ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Peer Specialist 175T00000X THW2412 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X T-19-405 OR Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
500740449MedicaidOR

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.

Verify at the official NPI Registry.