Individual provider Active NPI

Maret Banks, MA, LPC, CADC I

  • Professional Counselor
  • Grand Ronde, OR
National Provider Identifier
1821763137
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C7229 Issued in OR
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

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000OtherMNNONE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 17 clinicians

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

LicenseStateTypeSpecialty
21-R-31ORMDAddiction (Substance Use Disorder) Counselor
C7229ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Grand Ronde Community of Oregon Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Confederated Tribes of the Grand Ronde Community of Oregon CurrentSince Jan 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.