Origin Trauma and Addiction Treatment PLLC
NPI 1407697972 · Psychiatry Physician · Bowling Green, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Origin Trauma and Addiction Treatment PLLC is a Psychiatry Physician organization in Bowling Green, KY (NPI 1407697972).
Provider details
- NPI number
- 1407697972
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christian Schrader, Owner(214) 679-7017
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Origin Trauma and Addiction Treatment
- Doing business as
- Origin Trauma and Addiction Treatment
Registry dates
- Enumerated
- 2024-06-06
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Frequently asked questions
- What is Origin Trauma and Addiction Treatment PLLC's NPI number?
- Origin Trauma and Addiction Treatment PLLC's National Provider Identifier (NPI) is 1407697972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Origin Trauma and Addiction Treatment PLLC?
- Origin Trauma and Addiction Treatment PLLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Origin Trauma and Addiction Treatment PLLC located?
- Origin Trauma and Addiction Treatment PLLC's practice location on file with NPPES is 958 Collett Ave Ste 322, Bowling Green, KY 42101-2309.
- What is Origin Trauma and Addiction Treatment PLLC's phone number?
- The practice phone number listed in the NPPES registry for Origin Trauma and Addiction Treatment PLLC is (615) 745-9058.
- Does Origin Trauma and Addiction Treatment PLLC accept Medicare?
- Origin Trauma and Addiction Treatment PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Origin Trauma and Addiction Treatment PLLC?
- The authorized official listed on Origin Trauma and Addiction Treatment PLLC's NPPES record is Christian Schrader, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Origin Trauma and Addiction Treatment PLLC's NPI active?
- Yes — Origin Trauma and Addiction Treatment PLLC's NPI (1407697972) is active in the NPPES registry as of the last update on 2025-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.