Courage to Change Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COURAGE TO CHANGE CORP

Doing business as

CTC

Practice address

2785 N Main St Ste 101B
Hazard, KY 41701-5910

Phone

(606) 224-8451

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

David T Tipton, MA, LPCCNPI 1376312397

Title

Owner/ PBSS

Phone

(606) 224-8451

Specialties & licenses 2

Addresses

Other names 1

• CTC Doing business as

Practitioners 1

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.

• David Terry Tipton, MA, LPCC

  • Mental Health Counselor
  • Hazard, KY
  • NPI 1376312397
  NPD Authorized official

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1215710819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WALKER LN",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407449036",
            "telephone_number": "606-224-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 N MAIN ST STE 101B",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015910",
            "telephone_number": "606-224-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO CHANGE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ PBSS",
        "authorized_official_telephone_number": "606-224-8451",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Jo Couch
• Linda Couch
• Peter Couch
• Ryan Joseph Couch, APRN
• Villa Couch
• Sarah Alston Cox, MFT
• Ashley Crabtree, LPCC
• Harold Martin Craft, MS,OTR/L
• Leslie Craft, LCSW
• Lindsey Craft

• Mental Health Counselor in Hazard, KY
• Providers in Hazard, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.