Sundance Counseling West LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUNDANCE COUNSELING WEST LLC

Practice address

201 B Ave Ste 295
Lake Oswego, OR 97034-3290

Phone

(503) 616-1101

Fax

(503) 334-4379

NPI assigned

Mar 19, 2020

Organization subpart

No

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

Authorized official

Name

Allison Blomquist Christianson, LCSWNPI 1225692999

Title

Owner / Practitioner

Phone

(503) 616-1101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, OR2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Blomquist Christianson, LCSW

  • Clinical Social Worker
  • Lake Oswego, OR
  • NPI 1225692999

  AZ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1285260471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17218 S RAMSBY RD",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970387634",
            "telephone_number": "503-616-1101",
            "fax_number": "503-334-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 B AVE STE 295",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343290",
            "telephone_number": "503-616-1101",
            "fax_number": "503-334-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE COUNSELING WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "BLOMQUIST",
        "authorized_official_title_or_position": "OWNER / PRACTITIONER",
        "authorized_official_telephone_number": "503-616-1101",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenae Michelle Summerour, LMT
• Kendra Joan Summers, PHD
• Courtney Renae Summerskill, A.R.N.P.
• Summit Orthopaedics, LLP
• Sunbeam Center
• Megan Suter
• Rachel A Sutton
• John Walter Swanson, M.D.
• Judith A Swanson, M.S.W.
• Sarah Elizabeth Swanson

• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.