Active NPI
Changing Life'S Direction, LLC
- Community/Behavioral Health Agency
- Corrales, NM
National Provider Identifier
1104073451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0083821
- Legal business name
- CHANGING LIFE'S DIRECTION, LLC
- Practice address
- 4627 Corrales Rd.
Corrales, NM 87048 - Phone
- (505) 450-1948
- NPI assigned
- Aug 19, 2008
- 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
- Marie Ginga, LPCC
- Title
- Owner/Therapist
- Phone
- (505) 450-1948
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0083821 | NM | Primary |
Addresses
Primary practice location
4627 Corrales Rd.
Corrales, NM 87048
Mailing address
122 Ashley LN
Corrales, NM 87048-8922
Phone (505) 450-1948
National Provider Directory
National Provider DirectoryLocations
4627 Corrales Rd
Corrales, NM 87048
Phone (505) 450-1948
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Corrales, NM
- NPI 1043322498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1104073451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 ASHLEY LN",
"city": "CORRALES",
"state": "NM",
"postal_code": "870488922",
"telephone_number": "505-450-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4627 CORRALES RD.",
"city": "CORRALES",
"state": "NM",
"postal_code": "87048",
"telephone_number": "505-450-1948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING LIFE'S DIRECTION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "GINGA",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "505-450-1948",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NM",
"license": "0083821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.