Therapeutic Change

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60233689 Issued in WA

Legal business name

THERAPEUTIC CHANGE

Practice address

3305 Main St Ste 24
Vancouver, WA 98663-2234

Phone

(360) 602-1477

NPI assigned

Mar 5, 2012

Last updated

Mar 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Summer L Brown, M.S. LMFTNPI 1235381930

Title

Owner/Clinician

Phone

(360) 602-1477

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Summer L Brown, M.S

  • Marriage & Family Therapist
  • Vancouver, WA
  • NPI 1235381930
  Authorized official Same address or phone

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1033483391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST STE 24",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632234",
            "telephone_number": "360-602-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST STE 24",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632234",
            "telephone_number": "360-602-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "360-602-1477",
        "authorized_official_credential": "M.S. LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60233689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Theis
• Kathryn Elizabeth Thellman, FNP-C
• Theodore M Fujioka, DMD, PS
• Therapeutic Associates Inc (TAI - Hazel Dell Physical Therapy)
• Therapeutic Associates Inc (TAI Vancouver Physical Therapy)
• Therapeutic Change PLLC
• Therapy Works, LLC
• Therapydia California Physical Therapy, PC.
• Therapydia of Washington PC
• Jennifer Michelle Thibodeau

• Marriage & Family Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.