The Winds of Change PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT.0001480 Issued in CO

Legal business name

THE WINDS OF CHANGE PLLC

Practice address

29029 Upper Bear Creek Rd
Evergreen, CO 80439-7738

Phone

(303) 481-2855

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Damien Young, MA, LMFTNPI 1952791261

Title

LMFT

Phone

(303) 319-3616

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Damien Sebastian Young, MA, LMFT

  • Marriage & Family Therapist
  • Kailua Kona, HI
  • NPI 1952791261

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1417465337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804370778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29029 UPPER BEAR CREEK RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397738",
            "telephone_number": "303-481-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WINDS OF CHANGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "303-319-3616",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Thompson

• Marriage & Family Therapist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.