NORTHWEST CENTER FOR CHANGE (NPI# 1992020044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992020044 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CENTER FOR CHANGE |
| Practice Address |
10512 Ne 68th St Suite 202 Kirkland WA 98033-7002 |
| Mailing Address |
10512 Ne 68th St. Suite 202 Kirkland WA 98033 |
| Practice Telephone | 4258272401 |
| Mailing Telephone | 4258272401 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |
| Authorized Official Name | DEBRA A BAYER (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 4258272401 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 17149600 | WA | Agencies |
| Street Address |
10512 NE 68TH ST SUITE 202 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811097421 | Diana Lynn Forlenza | Social Worker | 10512 Ne 68th St, Suite C-202, Kirkland, WA 98033-7002 | 2006-09-24 |
| 1811355522 | Jeanne Reina | Counselor | 10512 Ne 68th St, Bldg. C, Suite 202, Kirkland, WA 98033-7002 | 2016-02-09 |
| 1427440494 | Therapaige LLC | Counselor | 10512 Ne 68th St, Bldg C, Ste 202, Kirkland, WA 98033-7002 | 2015-02-26 |
| 1942698956 | Christina Heather Rebholz | Psychologist | 10512 Ne 68th St, Suite C-104, Kirkland, WA 98033-7002 | 2014-12-27 |
| 1336373059 | Kristy Marie Rowley | Counselor | 10512 Ne 68th St, Ste. 202, Kirkland, WA 98033-7002 | 2009-05-08 |
| 1831361815 | Carol Ellen Wright | Marriage & Family Therapist | 10512 Ne 68th St, Suite C-202, Kirkland, WA 98033-7002 | 2008-03-30 |
| 1588711816 | Beth Erica Hirnle | Counselor | 10512 Ne 68th St, C-202, Kirkland, WA 98033-7002 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215288543 | Cadence Child and Adolescent Therapy | Community/Behavioral Health | 5210 Carillon Pt, Kirkland, WA 98033-7378 | 2012-09-26 |
| 1275066490 | Evergreen In Home Mental Health | Community/Behavioral Health | 12040 Ne 128th St, Ms 74, Kirkland, WA 98034-3013 | 2017-04-05 |
| 1972955029 | Endeavor Family Counseling | Community/Behavioral Health | 9757 Ne Juanita Dr, Suite 300, Kirkland, WA 98034-4299 | 2016-07-12 |
| 1558716548 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 11335 Ne 122nd Way, Suite 105, Kirkland, WA 98034 | 2016-04-27 |
| 1538213327 | King County Public Hospital District No. 2 | Community/Behavioral Health | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821539 | Cpf Breakthrough, LLC | Community/Behavioral Health | 11711 E Sprague Ave Ste D4, Spokane Valley, WA 99206-6122 | 2020-11-03 |
| 1538760111 | Nw Family Recovery Solutions | Community/Behavioral Health | 710 Bay St, Port Orchard, WA 98366-5310 | 2020-11-02 |
| 1891395091 | Art Nelson LLC | Community/Behavioral Health | 18679 15th Loop Ne, Poulsbo, WA 98370-7436 | 2020-10-27 |
| 1508463803 | Kim Lampson Pllc | Community/Behavioral Health | 9725 Se 36th St Ste 301, Mercer Island, WA 98040-3840 | 2020-10-08 |
| 1518573971 | Olive Crest | Community/Behavioral Health | 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 | 2020-09-21 |
| 1659980563 | Deborah M Connors Pllc | Community/Behavioral Health | 534 Ne Everett St Ste 201, Camas, WA 98607-2025 | 2020-07-27 |
| 1790393221 | Charmd Behavioral & Health LLC | Community/Behavioral Health | 4318 233rd Pl Se, Bothell, WA 98021-9057 | 2020-07-21 |
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1184241192 | Optimum Counseling, LLC | Community/Behavioral Health | 10710 Ne 10th St Apt 108, Bellevue, WA 98004-1033 | 2020-06-25 |
| 1467079467 | Recovery Cafe of Clark County | Community/Behavioral Health | 3312 E Fourth Plain Blvd Ste 100, Vancouver, WA 98661-5489 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.