Healthcare Provider Details

I. General information

NPI: 1467805903
Provider Name (Legal Business Name): LIZ MICHELLE BAUGHMAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2016
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W 13TH AVE
EUGENE OR
97401-3675
US

IV. Provider business mailing address

1234 PEARL ST. SUITE 3
EUGENE OR
97401
US

V. Phone/Fax

Practice location:
  • Phone: 541-666-1553
  • Fax: 541-919-3533
Mailing address:
  • Phone: 541-666-1553
  • Fax: 541-919-3533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT1563
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier500712629
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer
# 2
IdentifierT1563
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerLICENSE NUMBER

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: