Amy R Madrigal-Bates

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R7699 Issued in OR

Practice address

17 SW Frazer Ave Ste 282
Pendleton, OR 97801-0048

Phone

(541) 278-6330

Fax

(541) 278-5419

NPI assigned

Nov 1, 2016

Last updated

Jan 5, 2026By the provider in NPPES

Sex

Female

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

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Life's Intention LLC

  dba Life's Intention INC

  • Clinic/Center
  • Pendleton, OR
  • NPI 1124729314
  Medicare reassignment NPD Authorized official
• Life's Intention Back to Basics Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Pendleton, OR
  • NPI 1962103176
  NPD Authorized official

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1811449200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SUNSET DR",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "97914",
            "telephone_number": "541-889-9167",
            "fax_number": "541-889-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SW FRAZER AVE STE 282",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010048",
            "telephone_number": "541-278-6330",
            "fax_number": "541-278-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL-BATES",
        "first_name": "AMY",
        "middle_name": "R",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "R7699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Wayne Lyons, MA
• Nichole Danielle Maahs
• Kathleen A. Mace, R.PH.
• Christine A Mackenzie
• Danny Madore
• Tara Mahoney, CADC II
• Tracey Estelle Mahr, CRM
• Joann Faye Malumaleumu
• Susan Z Mangnall-Harris, L.C.S.W., PMHNP
• Katherine Marie Manning Stahl, R.D.H.

• Addiction (Substance Use Disorder) Counselor in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.