Organization Active NPI

Changing Life'S Direction, LLC

  • Community/Behavioral Health Agency
  • Corrales, NM
National Provider Identifier
1104073451
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0083821 Issued in NM
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

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Marie Ginga, LPCCNPI 1043322498
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.