Active NPI
Changing Perceptions
- Social Worker
- Portland, OR
National Provider Identifier
1285033993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104100000X
- Legal business name
- CHANGING PERCEPTIONS
- Practice address
- 522 SW 13TH Ave
Portland, OR 97205-2307 - Phone
- (503) 290-4513
- NPI assigned
- Aug 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Davonna Livingston
- Title
- Founder
- Phone
- (502) 290-4513
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104100000X | OR | Primary |
Addresses
Primary practice location
522 SW 13TH Ave
Portland, OR 97205-2307
Mailing address
PO Box 2071
Portland, OR 97208-2071
Phone (503) 290-4513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500671954 | Medicaid | OR |
National Provider Directory
National Provider Directory- Tax ID family
- Changing Perceptions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- Portland, OR
- NPI 1851790588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408406400000",
"number": "1285033993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2071",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972082071",
"telephone_number": "503-290-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 SW 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052307",
"telephone_number": "503-290-4513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING PERCEPTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A",
"authorized_official_last_name": "LIVINGSTON",
"authorized_official_first_name": "DAVONNA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "502-290-4513"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "OR",
"license": "104100000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500671954",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.