Change My Life Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHANGE MY LIFE COUNSELING LLC

Practice address

713 NW Renfro St
Burleson, TX 76028-3439

Phone

(940) 704-6623

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Joseph Edwin Corne, LPCNPI 1316486780

Title

Owner/Director

Phone

(940) 704-6623

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Joseph Edwin Corne, LPC

  • Professional Counselor
  • Burleson, TX
  • NPI 1316486780
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1093385684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SW WILSHIRE BLVD STE 124",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 NW RENFRO ST",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283439",
            "telephone_number": "940-704-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE MY LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "CORNE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "940-704-6623",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.changemylifecounseling.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information",
            "address_1": "713 NW Renfro St",
            "city": "Burleson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760283439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohammed Basem Chaker, M.D.
• Yvonne Chambers, RBT
• Aaliyah Chandler
• Dana Nicole Chandler, FNP
• Gary W Chandler, DPM
• Charles a Discher III, PLLC
• Charles R Payerle DDS, MD PLLC
• Charles R Payerle, DDS, MD, PLLC
• Chandra Pavai Chellappan, MD
• Cherry Blossom Family Dentistry

• Mental Health Clinic/Center (Including Community Mental Health Center) in Burleson, TX
• Providers in Burleson, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.