Individual provider Active NPI

Jesse Carmichael, CRM, CADC R

  • Addiction (Substance Use Disorder) Counselor
  • La Grande, OR
National Provider Identifier
1699474387
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
25-02-11409 Issued in OR
Practice address
1501 6TH St
La Grande, OR 97850-2419
Phone
(541) 962-0162
NPI assigned
Mar 1, 2023
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 23-CRM-1603 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 25-02-11409 OR Primary

Addresses

Primary practice location

1501 6TH St
La Grande, OR 97850-2419

Mailing address

PO Box 882
Pendleton, OR 97801-0882
Phone (541) 429-8844

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
23-CRM-1603ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Washington Health Network Addiction (Substance Use Disorder) CurrentSince Mar 5, 2023 Accepting new patients
Oregon Washington Health Network- Centro Copes PastSince Mar 5, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1699474387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010882",
            "telephone_number": "541-429-8844",
            "fax_number": "541-429-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 6TH ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502419",
            "telephone_number": "541-962-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "JESSE",
        "credential": "CRM, CADC R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-01",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "23-CRM-1603",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "25-02-11409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.