NPIMap

Organization Active NPI

Creative Change Counseling

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1033367131
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
221 Issued in WA
Legal business name
CREATIVE CHANGE COUNSELING
Practice address
1600 Dexter Ave N
Suite C-5
Seattle, WA 98109-3079
Phone
(206) 782-5348
Fax
(206) 706-5356
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Forest E Woodley
Title
Ceo
Phone
(206) 782-5348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 221 WA Primary

Addresses

Primary practice location

1600 Dexter Ave N
Suite C-5
Seattle, WA 98109-3079

Mailing address

1600 Dexter Ave N.
Suite C-5
Seattle, WA 98109
Phone (206) 782-5348

National Provider Directory

National Provider Directory
Tax ID family
Creative Change Counseling Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1033367131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DEXTER AVE N.",
            "address_2": "SUITE C-5",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98109",
            "telephone_number": "206-782-5348",
            "fax_number": "206-706-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DEXTER AVE N",
            "address_2": "SUITE C-5",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093079",
            "telephone_number": "206-782-5348",
            "fax_number": "206-706-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHANGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "WOODLEY",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-782-5348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.