OREGON CHANGE CLINIC, LLC
NPI 1881293215
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR
About Oregon Change Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OREGON CHANGE CLINIC, LLC (NPI 1881293215), doing business as Oregan Change Clinic, is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since October 2020. The organization lists Shannon Jones, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oregon Change Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Oregon Change Clinic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Oregon Change Clinic, LLC's NPI number?
The NPI number for Oregon Change Clinic, LLC is 1881293215. It was assigned to this organization in the NPPES registry on October 17, 2020. The provider is doing business as Oregan Change Clinic.
Where is Oregon Change Clinic, LLC located?
Oregon Change Clinic, LLC is located at 1312 SW Washington St, Portland, OR 97205. The listed phone number is (909) 455-4838.
What is Oregon Change Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Oregon Change Clinic, LLC enrolled in Medicare?
Yes. Oregon Change Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oregon Change Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Oregon Change Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Oregon Change Clinic, LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Oregon Change Clinic, Llc · NPI 1881293215
Mental Health (Including Community Mental Health Center) organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since October 17, 2020.
## Identity
- **NPI:** 1881293215 (Entity type: Organization)
- **Enumerated:** October 17, 2020
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Oregan Change Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Shannon Jones, OWNER/CEO
## Practice location
- **Address:** 1312 SW WASHINGTON ST, Portland, OR 97205-2327
- **Phone:** (909) 455-4838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1881293215) · Data from the CMS NPPES public registry.