A Couch for Change, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

A COUCH FOR CHANGE, PLLC

Practice address

5147 44TH St S
Fargo, ND 58104-6069

Phone

(701) 353-5092

NPI assigned

Aug 10, 2023

Last updated

Jun 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tarah E CavettNPI 1922253954

Title

Counselor/Owner

Phone

(701) 373-5092

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tarah E Cavett, LPC

  • Professional Counselor
  • Fargo, ND
  • NPI 1922253954
  Medicare reassignment Care Compare group NPD Authorized official
• Audrey Hopkins

  • Professional Counselor
  • Fargo, ND
  • NPI 1316369739
  Medicare reassignment Care Compare group
• Jennifer J Schumacher, LCSW

  • Clinical Social Worker
  • West Fargo, ND
  • NPI 1396170445
  NPD (past)

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717804800000",
    "number": "1063195683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 47TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 44TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046069",
            "telephone_number": "701-353-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A COUCH FOR CHANGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-06-08",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "CAVETT",
        "authorized_official_first_name": "TARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "701-373-5092"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.

Verify at the official NPI Registry.