Organization Active NPI

Agents of Change Counseling, LLC

  • Counselor
  • Westborough, MA
National Provider Identifier
1245487115
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LMHC 5851 Issued in MA
Legal business name
AGENTS OF CHANGE COUNSELING, LLC
Practice address
45 Lyman St
Suite 200
Westborough, MA 01581-2628
Phone
(508) 366-2300
Fax
(508) 475-7131
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Ms. Noemi Paciorek, LMHC
Title
Partner
Phone
(978) 314-0722

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LMHC 5851 MA Primary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LMHC 1374 MA
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LMHC 6361 MA
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LICSW 107865 MA
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LMHC 5851 MA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LMHC 5851 MA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LMHC 6361 MA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LMHC 1374 MA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LICSW 107865 MA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMHC 1374 MA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMHC 6361 MA

Addresses

Primary practice location

45 Lyman St
Suite 200
Westborough, MA 01581-2628

Mailing address

45 Lyman St
Suite 200
Westborough, MA 01581-2628
Phone (508) 366-2300

National Provider Directory

National Provider Directory

Locations

45 Lyman St
Ste 200
Westborough, MA 01581
Phone (508) 366-2300

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1245487115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LYMAN ST",
            "address_2": "SUITE 200",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812628",
            "telephone_number": "508-366-2300",
            "fax_number": "508-475-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LYMAN ST",
            "address_2": "SUITE 200",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812628",
            "telephone_number": "508-366-2300",
            "fax_number": "508-475-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENTS OF CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "PACIOREK",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "978-314-0722",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MA",
            "license": "LMHC 5851",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MA",
            "license": "LMHC 1374",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MA",
            "license": "LMHC 6361",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MA",
            "license": "LICSW 107865",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "LMHC 5851",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC 5851",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC 6361",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC 1374",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW 107865",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "LMHC 1374",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "LMHC 6361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.