Life Changes Mental Health and Addictions LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006237A Issued in IN

Legal business name

LIFE CHANGES MENTAL HEALTH AND ADDICTIONS LLC

Practice address

1537 S 7TH St
Terre Haute, IN 47802-1610

Phone

(812) 917-3186

Fax

(812) 917-4260

NPI assigned

Mar 8, 2013

Organization subpart

No

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

Authorized official

Name

Kim R Pepelea, LCSW

Title

Owner

Phone

(812) 917-3186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tanya Michelle Baker, LMHC

  • Mental Health Counselor
  • Terre Haute, IN
  • NPI 1508171471
  NPD (past)

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1184965642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021610",
            "telephone_number": "812-917-3186",
            "fax_number": "812-917-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021610",
            "telephone_number": "812-917-3186",
            "fax_number": "812-917-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES MENTAL HEALTH AND ADDICTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "PEPELEA",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-917-3186",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006237A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lewis, FNP
• Kala Lewis
• Sarah Lewis, PSYD, HSPP
• William Henry Ley
• Jiayang Li
• Life Focus Psychological Consulting Services
• Bridgette Denise Likens, P. T.
• Robin Likens, N.P.
• Carmelita V Lim, PHYSICAL THERAPIST
• Custodio L. Lim, MD

• Clinical Social Worker in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.