Vital Changes, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00009536 Issued in WA

Legal business name

VITAL CHANGES, INC.

Practice address

119 Pelly Ave N
Renton, WA 98057-5714

Phone

(425) 687-9600

Fax

(425) 264-0136

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Alexander McFarlane, PH. D., M. DIV.

Title

President

Phone

(425) 687-9600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1154503142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PELLY AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575714",
            "telephone_number": "425-687-9600",
            "fax_number": "425-264-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PELLY AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575714",
            "telephone_number": "425-687-9600",
            "fax_number": "425-264-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CHANGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MCFARLANE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-687-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D., M. DIV."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn M Visser
• Sarah Vissers, PT
• Vista Eye Care, PS
• Vital Changes Treatment, Inc
• Vital Changes, Inc
• Angelique Juliet Vittone
• Viva Collaboration LLC
• Lisa 'Lee' Ann Vivanco, DNP
• Linh Van Vo, CPHT
• Thanh H Vo

• Mental Health Counselor in Renton, WA
• Providers in Renton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.