The Center for Change LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE CENTER FOR CHANGE LLC

Practice address

4535 W Russell Rd Ste 15
Las Vegas, NV 89118-2258

Phone

(702) 368-2380

Fax

(702) 368-2316

NPI assigned

Jun 26, 2019

Organization subpart

Yes

Parent organization

THE CENTER FOR CHANGE LLC.As reported in NPPES

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

Authorized official

Name

Morgan Lee

Title

Representative

Phone

(702) 368-2380

Specialties & licenses 4

Addresses

Other names 1

• Center for Change Doing business as

Part of

The Center for Change LLC

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Fakiel, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1972787000
  NPD
• Alma Maeartis Madison, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1033282264
  NPD
• Yara Rosa Marchena

  • Behavior Technician
  • Las Vegas, NV
  • NPI 1376901918
  NPD
• Lisa Moffett

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1821006297
  NPD
• Yandry Rodriguez Hernandez

  • Technician
  • Las Vegas, NV
  • NPI 1679181796
  NPD
• Jerrell Shanae White

  • Behavior Technician
  • Las Vegas, NV
  • NPI 1629659198
  NPD
• Satarah Frances Murphy, CSW-I

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1053662460
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1164083515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 W RUSSELL RD STE 15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182258",
            "telephone_number": "702-368-2380",
            "fax_number": "702-368-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 W RUSSELL RD STE 15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182258",
            "telephone_number": "702-368-2380",
            "fax_number": "702-368-2316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7220 S Cimarron Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132102",
            "country_code": "US",
            "telephone_number": "702-368-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CENTER FOR CHANGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CENTER FOR CHANGE LLC.",
        "enumeration_date": "2019-06-26",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "702-368-2380"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Change",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The C.a.R.E Project
• The Cataract Vision Institute LLC
• The Center for Behavioral Health Services
• The Center for Behavioral Health Services
• The Center for Behavioral Health Services Inc
• The Center for Change LLC
• The City of Las Vegas
• The City of Las Vegas
• The Connected Voice Center LLC
• The Crisis Group LLC

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.