Organization Active NPI

A Season for Change

  • Community/Behavioral Health Agency
  • Troutdale, OR
National Provider Identifier
1760859227
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
97733399 Issued in OR
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Dianna K Bowlen, LCSWNPI 1699065284
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.