A Positive Change

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LH60429375 Issued in WA

Legal business name

A POSITIVE CHANGE

Practice address

5262 Olympic Drive Suite C
Gig Harbor, WA 98335

Phone

(253) 225-2275

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By 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

Ms. Amanda Anna Boley PSYD, LMHC

Title

Psychotherapist

Phone

(253) 225-2275

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Amanda Boley, MA

  • Mental Health Counselor
  • Gig Harbor, WA
  • NPI 1437507076
  NPD (past)

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1144616848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5262 OLYMPIC DRIVE SUITE C",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-225-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5262 OLYMPIC DRIVE SUITE C",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-225-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A POSITIVE CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BOLEY PSYD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "253-225-2275",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LH60429375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC LH60429375",
            "identifier": "LH60429375",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #3321)
• 1918 Winter Street Operating Co LLC (Sav-on Pharmacy #4406)
• A. Niazi, DDS, PLLC (Gig Harbor Endodontics, Port Orchard Endodontics)
• Abc Physical Therapy
• Jeffrey P Abrahams
• Adam Hamawy MD PLLC
• Deborah Jean Adams, MA LMHC

• Community/Behavioral Health Agency in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.