Pacific NW Mindful Change LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PACIFIC NW MINDFUL CHANGE LLC

Practice address

541 Willamette St Ste 315
Eugene, OR 97401-2692

Phone

(540) 824-4461

Fax

(503) 400-7452

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Lee RettonNPI 1568878940

Title

LCSW

Phone

(540) 824-4461

Specialties & licenses 1

Addresses

Other names 1

• Pacific NW Therapy Collective Doing business as

Locations

Practitioners 2

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

• Michelle Lee Retton

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1568878940

  Mental Health

  NPD Authorized official
• Brandon Huffman, MA, NCC, CADC-I

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1114655115
  NPD (past)

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1437997145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 WILLAMETTE ST STE 315",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012692",
            "telephone_number": "540-824-4461",
            "fax_number": "503-400-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 WILLAMETTE ST STE 315",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012692",
            "telephone_number": "540-824-4461",
            "fax_number": "503-400-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NW MINDFUL CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "RETTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "540-824-4461"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific NW Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pacific Surgery Center LLC
• Pacific Womens Center LLC

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, 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 Jul 14, 2026; 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.