Active NPI
Changing Lives Counseling LLC
- Community/Behavioral Health Agency
- Green Bay, WI
National Provider Identifier
1245557941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4380-125
- Legal business name
- CHANGING LIVES COUNSELING LLC
- Practice address
- 715 Superior Rd
Suite 101
Green Bay, WI 54311-7595 - Phone
- (920) 393-4148
- Fax
- (920) 393-4244
- NPI assigned
- Apr 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christine M Toltzman Knapp, M.A., L.P.C., N.C.C.
- Title
- Owner
- Phone
- (920) 393-4148
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4380-125 | WI | Primary |
Addresses
Primary practice location
715 Superior Rd
Suite 101
Green Bay, WI 54311-7595
Mailing address
715 Superior Rd
Suite 101
Green Bay, WI 54311-7595
Phone (920) 393-4148
National Provider Directory
National Provider DirectoryLocations
715 Superior Rd
Ste 101
Green Bay, WI 54311
Phone (920) 393-4148
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Green Bay, WI
- NPI 1982948873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1245557941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 SUPERIOR RD",
"address_2": "SUITE 101",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543117595",
"telephone_number": "920-393-4148",
"fax_number": "920-393-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 SUPERIOR RD",
"address_2": "SUITE 101",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543117595",
"telephone_number": "920-393-4148",
"fax_number": "920-393-4244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING LIVES COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "TOLTZMAN KNAPP",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-393-4148",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.A., L.P.C., N.C.C."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "4380-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.