# PACIFIC NW MINDFUL CHANGE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Michelle Retton, Pacific NW Therapy Collective
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437997145
- **Authorized official:** MICHELLE LEE RETTON (LCSW)
- **Authorized official phone:** (540) 824-4461

## Contact information

- **Practice address:** 541 WILLAMETTE ST STE 315, EUGENE, OR 97401-2692
- **Practice address phone:** (540) 824-4461
- **Practice address fax:** (503) 400-7452
- **Mailing address:** 541 WILLAMETTE ST STE 315, EUGENE, OR 97401-2692
- **Mailing address phone:** (540) 824-4461
- **Mailing address fax:** (503) 400-7452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2024
- **Last updated:** 07/14/2026