OrganizationActive
Therapeutic Change PLLC
NPI 1821653239 · Marriage & Family Therapist · Vancouver, WA
Provider details
- NPI number
- 1821653239
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Summer Brown, Owner/ Clinician(360) 602-1477
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1314 Kauffman Ave
Vancouver, WA 98660-2725
Phone: (360) 602-1477
Fax: (360) 334-5508
Street-level locationGet directions
Mailing address
1314 Kauffman Ave
Vancouver, WA 98660-2725
Other names (DBA / former)
- Doing business as
- Therapeutic Change PLLC
Additional practice locations (1)
- 1314 Kauffman AveVancouver, WA 98660-2725Phone: (360) 602-1477Fax: (360) 334-5508
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2019-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.