Healthcare Provider Details

I. General information

NPI: 1114603289
Provider Name (Legal Business Name): CHANGING WINDS COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 SW FRAZER AVE STE 212
PENDLETON OR
97801-2802
US

IV. Provider business mailing address

920 SW FRAZER AVE STE 211
PENDLETON OR
97801-2802
US

V. Phone/Fax

Practice location:
  • Phone: 541-429-4940
  • Fax: 541-429-4941
Mailing address:
  • Phone: 541-429-4940
  • Fax: 541-429-4941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMES BYRON RINEHART
Title or Position: OWNER
Credential: BS, CADC II, QMHA-R
Phone: 541-429-4940