Organization Active NPI

Changing Lives Counseling LLC

  • Community/Behavioral Health Agency
  • Green Bay, WI
National Provider Identifier
1245557941
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4380-125 Issued in WI
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

Updated by the provider on Oct 17, 2012

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.NPI 1982948873
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.