Organization Active NPI

Changes Counseling LLC

  • Community/Behavioral Health Agency
  • Fort Smith, AR
National Provider Identifier
1184105934
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHANGES COUNSELING LLC
Practice address
3514 Country Club Ave Ste 2
Fort Smith, AR 72903-3300
Phone
(479) 883-2081
NPI assigned
Aug 28, 2018
Last updated
Oct 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Patricia M Lashley, LPCNPI 1578822235
Title
Owner
Phone
(479) 287-0009

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P1802014 AR
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3514 Country Club Ave Ste 2
Fort Smith, AR 72903-3300

Mailing address

3514 Country Club Ave Ste 2
Fort Smith, AR 72903-3300
Phone (479) 883-2081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423000106 AR Part B Supplier - Clinic/Group Practice 5597104661 Receives reassigned benefits from 1 practitioner
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory

Locations

3514 Country Club Ave
Ste 2
Fort Smith, AR 72903
Phone (479) 222-6806

1916 W Sunset Ave
Ste C
Springdale, AR 72762
Phone (479) 318-2490

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1184105934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 COUNTRY CLUB AVE STE 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033300",
            "telephone_number": "479-883-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 COUNTRY CLUB AVE STE 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033300",
            "telephone_number": "479-883-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "LASHLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-287-0009",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1802014",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.