Organization Active NPI

Change, Inc.

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1033267232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
519 Issued in MN
Legal business name
CHANGE, INC.
Practice address
227 Colfax Ave N
Suite 130
Minneapolis, MN 55405-1419
Phone
(612) 759-8789
Fax
(612) 823-3869
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James A Nelson, PH.D., LMFTNPI 1003964891
Title
Principal
Phone
(612) 759-8789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 519 MN Primary

Addresses

Primary practice location

227 Colfax Ave N
Suite 130
Minneapolis, MN 55405-1419

Mailing address

227 Colfax Ave N
Suite 130
Minneapolis, MN 55405-1419
Phone (612) 759-8789

National Provider Directory

National Provider Directory

Locations

227 Colfax Ave N
Ste 130
Minneapolis, MN 55405
Phone (612) 259-7384

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033267232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 COLFAX AVE N",
            "address_2": "SUITE 130",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051419",
            "telephone_number": "612-759-8789",
            "fax_number": "612-823-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 COLFAX AVE N",
            "address_2": "SUITE 130",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051419",
            "telephone_number": "612-759-8789",
            "fax_number": "612-823-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "612-759-8789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.