Changes Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5606C Issued in AR

Legal business name

CHANGES BEHAVIORAL HEALTH, LLC

Practice address

204 Mississippi St S
Wynne, AR 72396-3025

Phone

(870) 208-8499

NPI assigned

Apr 4, 2013

Last updated

Apr 24, 2025By 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

Brian Dickson Shaw, LCSWNPI 1396949517

Title

Therapist

Phone

(901) 570-0556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 82

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.

• Paul Bailey III, LPC

  • Professional Counselor
  • Forrest City, AR
  • NPI 1669802823
  Medicare reassignment Care Compare group NPD
• Tracy Rose Birmingham, LPC

  • Professional Counselor
  • Osceola, AR
  • NPI 1609052596
  Medicare reassignment Care Compare group NPD
• Valisya Coleman, LCSW

  • Clinical Social Worker
  • Wynne, AR
  • NPI 1679046098
  Medicare reassignment Care Compare group NPD
• Alicia D Peeler-Turner, LAC

  • Mental Health Counselor
  • Jonesboro, AR
  • NPI 1780822973
  Medicare reassignment Care Compare group NPD
• Katherine Rohrer, APRN

  • Family Nurse Practitioner
  • Forrest City, AR
  • NPI 1659823094
  Medicare reassignment Care Compare group NPD
• Brian D. Shaw, CM

  • Clinical Social Worker
  • Wynne, AR
  • NPI 1396949517
  Medicare reassignment NPD Authorized official
• Edith Renee Sherman, LCSW

  • Clinical Social Worker
  • Wynne, AR
  • NPI 1629249131
  Medicare reassignment Care Compare group NPD
• Stephanie Kay Collier, LICSW

  • Clinical Social Worker
  • Beckley, WV
  • NPI 1841503299

  AR

  Medicare reassignment Care Compare group NPD
• Nga T. Huynh, MD

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1679716013

  AR

  Medicare reassignment Care Compare group NPD
• Priscilla Alexander, LCSW

  • Clinical Social Worker
  • Paragould, AR
  • NPI 1821518242
  Medicare reassignment NPD
• Heather Hunter Baker, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1770953366
  Medicare reassignment NPD
• Katelyn Boles, LPC

  • Mental Health Counselor
  • Wynne, AR
  • NPI 1265980593
  Medicare reassignment NPD

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1114260486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MISSISSIPPI ST S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963025",
            "telephone_number": "870-208-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MISSISSIPPI ST S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963025",
            "telephone_number": "870-208-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Medel Marconi Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AR",
            "postal_code": "72364",
            "country_code": "US",
            "telephone_number": "870-208-8499",
            "fax_number": "870-208-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHANGES BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DICKSON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "901-570-0556",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "5606C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Hayes Carter
• Britni Cartillar, APRN
• Megan Cartillar, D.C.
• Crystal Leigh Cathey, CLC
• James Donald Cathey, M.D.
• Ashley Nicole Chapman, COTA/L
• Brianna Nicole Chapman, COTA, L
• Michelle Frances Chapman, APRN
• Bernice Chapple-Taylor, NURSE PRACTITIONER
• Charlie's Angels Transit, LLC

• Community/Behavioral Health Agency in Wynne, AR
• Providers in Wynne, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.