Living Changes Therapies

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIVING CHANGES THERAPIES

Practice address

5 Great Valley Pkwy Ste 210
Malvern, PA 19355-1426

Phone

(804) 822-5529

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Paul Duncan Gushurst, LCSWNPI 1962805564

Title

Psychotherapist

Phone

(804) 822-5529

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Paul Gushurst, LCSW

  • Clinical Social Worker
  • Chadds Ford, PA
  • NPI 1962805564
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1083320006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 CRESCENT DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GREAT VALLEY PKWY STE 210",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551426",
            "telephone_number": "804-822-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING CHANGES THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "GUSHURST",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "804-822-5529",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily B.Thomas
• Lippincott Psychological Services PLLC
• Lauren Melissa Lippincott, PH.D.
• Little Bear Pediatric Dentistry
• Phyllis Littman
• David F Long, MD
• Nicholas William Longo, PA-C
• Sophie A Longwill
• Samantha Louise
• Nicole L Luongo, PA-C

• Clinical Social Worker in Malvern, PA
• Providers in Malvern, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.