Active NPI
A Season for Change
- Community/Behavioral Health Agency
- Troutdale, OR
National Provider Identifier
1760859227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 97733399
- Legal business name
- A SEASON FOR CHANGE
- Practice address
- 1122 SW 257TH Ave
Troutdale, OR 97060-1474 - Phone
- (503) 997-7734
- NPI assigned
- Aug 31, 2015
- Last updated
- Aug 31, 2015
- 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
- Dianna K Bowlen, LCSW
- Title
- Owner, Therapist
- Phone
- (503) 997-7734
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 97733399 | OR | Primary |
Addresses
Primary practice location
1122 SW 257TH Ave
Troutdale, OR 97060-1474
Mailing address
39085 Pioneer Blvd Ste 203
Sandy, OR 97055-8062
Phone (503) 997-7734
Other names 1
- A Season for Change Counseling and Hypnosis
National Provider Directory
National Provider DirectoryLocations
39085 Pioneer Blvd
Ste 203
Sandy, OR 97055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Scappoose, OR
- NPI 1699065284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440979200000",
"number": "1760859227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39085 PIONEER BLVD STE 203",
"city": "SANDY",
"state": "OR",
"postal_code": "970558062",
"telephone_number": "503-997-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 SW 257TH AVE",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970601474",
"telephone_number": "503-997-7734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A SEASON FOR CHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A",
"authorized_official_last_name": "BOWLEN",
"authorized_official_first_name": "DIANNA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "503-997-7734",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OR",
"license": "97733399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A Season for Change Counseling and Hypnosis",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Troutdale, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.