Center for Change & Healing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CENTER FOR CHANGE & HEALING

Practice address

11S230 S Jackson St Ste 104
Burr Ridge, IL 60527-7099

Phone

(630) 712-6042

NPI assigned

Oct 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin Kell, LCSW

Title

Director of Information

Phone

(630) 849-6212

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Hinderliter, LPC

  • Professional Counselor
  • Burr Ridge, IL
  • NPI 1619601457
  NPD
• Vanessa Kell Jankowski, LCSW

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1174883862
  NPD
• Kyle Joseph Jankowski, L.C.S.W.

  • Clinical Social Worker
  • Burr Ridge, IL
  • NPI 1598036386
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1003570565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11S230 S JACKSON ST STE 104",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277099",
            "telephone_number": "630-712-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11S230 S JACKSON ST STE 104",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277099",
            "telephone_number": "630-712-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHANGE & HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "KELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF INFORMATION",
        "authorized_official_telephone_number": "630-849-6212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003335076",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174883862",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023595238",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598036386",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Planning Institute
• Austin Carmody, DMD
• Edward Albert Carrie, DC
• Ashley Elizabeth Casey
• Catherine Anne Tobin
• Neda Chamberlain, MA, LPC, CADC
• Patricia Ann Chandler
• Anthony Chang, MD
• Eugene B Chang, MD
• Hillary Chang, DO

• Clinical Social Worker in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.