BASECAMP ADVOCACY, LLC DBA: BASECAMP ADVOCACY & AUTISM SERVICES — NPI 1053238576 (Licensed & Credentialed Behavior Analyst in SISTERS, OR)

CMS-1500 Box 24J / 33a • NPI

1053238576

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103K00000X

Licensed & Credentialed Behavior Analyst

Box 32 Service Location & ZIP+4

14835 STAGECOACH, SISTERS, OR, 97759-9566

✓ 9-Digit EDI 837 ZIP+4 (97759-9566)

Practice Phone & Referral Fax

(541) 241-6943

Fax: (541) 838-6404

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053238576 (BASECAMP ADVOCACY, LLC DBA: BASECAMP ADVOCACY & AUTISM SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053238576` (NPI-2 Organization / Facility)
Provider / Legal Name	BASECAMP ADVOCACY, LLC DBA: BASECAMP ADVOCACY & AUTISM SERVICES
Plain-English Specialty	Licensed & Credentialed Behavior Analyst NUCC Code: `103K00000X` (Behavior Analyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	14835 STAGECOACH, SISTERS, OR, 97759-9566
Practice Telephone / Fax	Tel: (541) 241-6943 \| Fax: (541) 838-6404
Administrative Mailing Address	14835 STAGECOACH, SISTERS, OR, 97759-9566
Enumeration & Last Sync	Enumerated: 2026-07-06 \| CMS Record Updated: 2026-07-06
Authorized Official	OLIVIA MARTENS (Owner, Clinical Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

14835 STAGECOACH, SISTERS, OR, 97759-9566

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Plain-English Taxonomy & CMS Crosswalk (103K00000X)

What Does Taxonomy Code 103K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Analyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BASECAMP ADVOCACY, LLC DBA: BASECAMP ADVOCACY & AUTISM SERVICES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BASECAMP ADVOCACY, LLC DBA: BASECAMP ADVOCACY & AUTISM SERVICES (NPI #1053238576)