THERAPEUTIC CHANGE (NPI# 1033483391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033483391 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC CHANGE |
| Practice Address |
3305 Main St Ste 24 Vancouver WA 98663-2234 |
| Practice Telephone | 3606021477 |
| Mailing Telephone | 3606021477 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | SUMMER L BROWN (OWNER/CLINICIAN) |
| Authorized Official Telephone | 3606021477 |
| Authorized Official Credential | M.S. LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF60233689 | WA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THERAPEUTIC CHANGE PLLC | 1314 Kauffman Ave, Vancouver, WA 98660-2725 |
| Street Address |
3305 MAIN ST STE 24 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98663-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
| 1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
| 1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
| 1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
| Find all providers in zip 98663 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735095 | Meghann Smith | Marriage & Family Therapist | 12800 Ne 4th St Apt 23, Vancouver, WA 98684-5095 | 2018-10-11 |
| 1033576285 | Joshua Michael Schnellbach | Marriage & Family Therapist | 11801 Ne 65th St Ste A, Vancouver, WA 98662-5527 | 2016-01-19 |
| 1225403454 | Refresh Therapy, Inc | Marriage & Family Therapist | 1319 Ne 134th St # 111, Vancouver, WA 98685-2717 | 2015-12-14 |
| 1821472606 | Denise Burningham | Marriage & Family Therapist | 4601 E 18th St Apt 167, Vancouver, WA 98661-6251 | 2015-07-12 |
| 1174954911 | Susan Louise Kelsay | Marriage & Family Therapist | 201 Se 124th Ave., #203, Vancouver, WA 98684 | 2013-12-04 |
| 1659713444 | Integrity Counseling | Marriage & Family Therapist | 201 Se 124th Ave Ste 203, Vancouver, WA 98684-6067 | 2013-07-23 |
| 1376880518 | Ezra Kilfoil | Marriage & Family Therapist | 1104 Main St Ste 440, Vancouver, WA 98660-2955 | 2013-01-08 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1235494477 | Breya Chantarabunchorn | Marriage & Family Therapist | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2012-07-12 |
| 1023394509 | Lacey Meehan | Marriage & Family Therapist | 10000 Ne 7th Ave Ste 410, Vancouver, WA 98685-4548 | 2011-10-27 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.