Organization Active NPI

Chatandchange Counseling Services

  • Community/Behavioral Health Agency
  • Massapequa, NY
National Provider Identifier
1134576697
Registry record updated May 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
RO55452-1 Issued in NY
Legal business name
CHATANDCHANGE COUNSELING SERVICES
Practice address
727 N Broadway
Massapequa, NY 11758-2348
Phone
(631) 418-4117
NPI assigned
May 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2016

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

Authorized official

Name
Ms. Candice Jarvis, LCSWNPI 1275910457
Title
Owner
Phone
(631) 418-4117

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 RO55452-1 NY Primary

Addresses

Primary practice location

727 N Broadway
Massapequa, NY 11758-2348

Mailing address

615 Broadway
Apt 31
Amityville, NY 11701-2137
Phone (631) 418-4117

National Provider Directory

National Provider Directory

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": "1463184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463184000000",
    "number": "1134576697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BROADWAY",
            "address_2": "APT 31",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012137",
            "telephone_number": "631-418-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "631-418-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATANDCHANGE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-14",
        "last_updated": "2016-05-14",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-418-4117",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "RO55452-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; 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.