Organization Active NPI

Hope for Change Counseling

  • Mental Health Counselor
  • Dallas, OR
National Provider Identifier
1942944079
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOPE FOR CHANGE COUNSELING
Practice address
2205 S Church St
Dallas, OR 97338-9742
Phone
(503) 930-7349
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Mrs. Jaclyn Renee Braziel, LPCNPI 1194950576
Title
Owner/Manager/Employee
Phone
(503) 930-7349

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2205 S Church St
Dallas, OR 97338-9742

Mailing address

2205 S Church St
Dallas, OR 97338-9742
Phone (503) 930-7349

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1942944079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 S CHURCH ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389742",
            "telephone_number": "503-930-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 S CHURCH ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389742",
            "telephone_number": "503-930-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE FOR CHANGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "BRAZIEL",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/MANAGER/EMPLOYEE",
        "authorized_official_telephone_number": "503-930-7349",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.