Garrett Taylor Bachman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10862 Issued in OR

Practice address

511 Main St Ste 203
Oregon City, OR 97045-1830

Phone

(971) 389-7218

Fax

(503) 386-2587

NPI assigned

Apr 30, 2015

Reactivated

Feb 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PNW Counseling Alliance LLC

  • Clinical Social Worker
  • Oregon City, OR
  • NPI 1275287666
  NPD (past) Authorized official
• County of Clackamas Office of County Auditor

  dba Centerstone

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Happy Valley, OR
  • NPI 1801142781
  NPD (past)

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1760869523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MAIN ST STE 203",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451830",
            "telephone_number": "971-389-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAIN ST STE 203",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451830",
            "telephone_number": "971-389-7218",
            "fax_number": "503-386-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "GARRETT",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "deactivation_date": "2022-01-22",
        "reactivation_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10862",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L10862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan P Ayers, LCSW
• Megan Nicole Ayers, FNP
• Aziz Azar, DMD
• Matthew P Azar, LCSW
• Raquel Babcock
• Back in the Game LLC
• Deborah Bailey
• Laurie M Baird, LCSW
• Jordan M Baker, QMHA
• Balanced Nutrition NW LLC

• Clinical Social Worker in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.