Active NPI
Winds of Change LLC
- Mental Health Counselor
- Corbin, KY
National Provider Identifier
1013649250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WINDS OF CHANGE LLC
- Practice address
- 1220 Master St Ste 6
Corbin, KY 40701-2517 - Phone
- (606) 404-5104
- Fax
- (606) 404-5105
- NPI assigned
- Jun 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Hope Huddleston
- Title
- Member
- Phone
- (606) 404-5105
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
1220 Master St Ste 6
Corbin, KY 40701-2517
Mailing address
1220 Master St Ste 6
Corbin, KY 40701-2517
Phone (606) 404-5104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1220 Master St
Corbin, KY 40701
37 Southpark Center Dr
Ste 5
Corbin, KY 40701
1220 Master St
Ste 6
Corbin, KY 40701
Phone (606) 404-5104
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Corbin, KY
- NPI 1588801369
Addiction (Substance Use Disorder)
-
- Professional Counselor
- Corbin, KY
- NPI 1538836283
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1013649250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MASTER ST STE 6",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012517",
"telephone_number": "606-404-5104",
"fax_number": "606-404-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MASTER ST STE 6",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012517",
"telephone_number": "606-404-5104",
"fax_number": "606-404-5105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDS OF CHANGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "HUDDLESTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "HOPE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "606-404-5105"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.