Jan C Boggs Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000520A Issued in IN

Legal business name

JAN C BOGGS INC

Doing business as

Choices & Changes

Practice address

155 Diplomat Dr
Suite C
Columbia City, IN 46725-1330

Phone

(260) 244-0264

Fax

(260) 244-1983

NPI assigned

Jul 19, 2006

Last updated

Jun 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jan C Boggs, LCSW

Title

President

Phone

(260) 248-8059

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Choices & Changes Doing business as

Locations

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.

• Carl Richard Coslow

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1861421620
  NPD (past)
• Wayne Marshall Gerard, LCSW DCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1760411532
  NPD (past)
• Mary M McArdle-Bir, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1578628913
  NPD (past)
• Nicole Trier, LMHCA

  • Mental Health Counselor
  • Columbia City, IN
  • NPI 1912368465
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1194744383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GROVE PARK DR",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251812",
            "telephone_number": "260-248-8059",
            "fax_number": "260-244-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DIPLOMAT DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251330",
            "telephone_number": "260-244-0264",
            "fax_number": "260-244-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN C BOGGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-248-8059",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000520A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200532500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choices & Changes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Twyla Hunter, RD
• David L Hurley, MD
• Brittany R Ianucilli-Kyler, RBT
• Kristen Ishak, MSW
• Tina L Jagger, MSW, LCSW
• Madelyn McKenna Janssen
• Anthony D Jeffers, LCSW
• Jefferson Center Whitley County VFD
• Charles Anthony Jinks, RPH
• Johnson Memorial Hospital (Miller's at Oak Pointe)

• Clinical Social Worker in Columbia City, IN
• Providers in Columbia City, 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 Jun 21, 2010; 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.