Active NPI
Maret Banks, MA, LPC, CADC I
- Professional Counselor
- Grand Ronde, OR
National Provider Identifier
1821763137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C7229
- Practice address
- 9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712 - Phone
- (503) 879-2026
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21-R-31 | OR | |
| Professional Counselor | 101YP2500X | C7229 | OR | Primary |
Addresses
Primary practice location
9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Mailing address
9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone (503) 879-2026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Other | MN | NONE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118002751 | OR | Practitioner - Mental Health Counselor | 3779935416 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Confederated Tribes of the Grand Ronde Community of Oregon
Practice addresses (Care Compare)
9615 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone (503) 879-2007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-R-31 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| C7229 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confederated Tribes of the Grand Ronde Community of Oregon | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Confederated Tribes of the Grand Ronde Community of Oregon | Current | Accepting new patients | |
| Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health & | Past | Accepting new patients |
Locations
9605 Grand Ronde Rd
Grand Ronde, OR 97347
Phone (503) 879-2002
9615 Grand Ronde Rd
Grand Ronde, OR 97347
Phone (503) 879-2002
Interoperability endpoints
- maret.banks.p1@direct.grandronde.nextgenshare.com
Organizations & group practices 3
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.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Grand Ronde, OR
- NPI 1174666358
Addiction (Substance Use Disorder), OR
-
- Land Ambulance
- Grand Ronde, OR
- NPI 1215606132
-
- Community Health Clinic/Center
- Grand Ronde, OR
- NPI 1104164359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1821763137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9605 GRAND RONDE RD",
"city": "GRAND RONDE",
"state": "OR",
"postal_code": "973479712",
"telephone_number": "503-879-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9605 GRAND RONDE RD",
"city": "GRAND RONDE",
"state": "OR",
"postal_code": "973479712",
"telephone_number": "503-879-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "MARET",
"credential": "MA, LPC, CADC I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "21-R-31",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C7229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "000000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Ronde, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.