Active NPI
Northwest Center for Change
- Community/Behavioral Health Agency
- Kirkland, WA
National Provider Identifier
1992020044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 17149600
- Legal business name
- NORTHWEST CENTER FOR CHANGE
- Practice address
- 10512 NE 68TH St
Suite 202
Kirkland, WA 98033-7002 - Phone
- (425) 827-2401
- NPI assigned
- Apr 1, 2010
- 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
- Debra A Bayer, LMFT
- Title
- Clinical Supervisor
- Phone
- (425) 827-2401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 17149600 | WA | Primary |
Addresses
Primary practice location
10512 NE 68TH St
Suite 202
Kirkland, WA 98033-7002
Mailing address
10512 NE 68TH St.
Suite 202
Kirkland, WA 98033
Phone (425) 827-2401
National Provider Directory
National Provider DirectoryLocations
10512 NE 68th St
Ste 202
Kirkland, WA 98033
Phone (206) 552-8207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270080000000",
"number": "1992020044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10512 NE 68TH ST.",
"address_2": "SUITE 202",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "425-827-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10512 NE 68TH ST",
"address_2": "SUITE 202",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980337002",
"telephone_number": "425-827-2401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST CENTER FOR CHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A",
"authorized_official_last_name": "BAYER",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CLINICAL SUPERVISOR",
"authorized_official_telephone_number": "425-827-2401",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "17149600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.