NPIMap

Organization Active NPI

Change Therapy Professionals Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valparaiso, IN
National Provider Identifier
1144731548
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
201710021217004 Issued in IN
Legal business name
CHANGE THERAPY PROFESSIONALS INC.
Practice address
954 Eastport Centre Dr Ste a
Valparaiso, IN 46383-4456
Phone
(219) 286-3255
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Melissa Scannell, MA, LMHC
Title
Owner/Therapist
Phone
(219) 286-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 201710021217004 IN Primary

Addresses

Primary practice location

954 Eastport Centre Dr Ste a
Valparaiso, IN 46383-4456

Mailing address

954 Eastport Centre Dr Ste a
Valparaiso, IN 46383-4456
Phone (219) 286-3255

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": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1144731548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 EASTPORT CENTRE DR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834456",
            "telephone_number": "219-286-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 EASTPORT CENTRE DR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834456",
            "telephone_number": "219-286-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE THERAPY PROFESSIONALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "SCANNELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "219-286-3255",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "201710021217004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.