Changing Tree Wellness Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH10761 Issued in FL

Legal business name

CHANGING TREE WELLNESS CENTER, LLC

Practice address

203 SE 2ND Ave
Okeechobee, FL 34974-4305

Phone

(863) 261-8900

Fax

(863) 279-1156

NPI assigned

Aug 20, 2012

Last updated

Feb 3, 2014By 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

Dr. Ellisa Scott, PHD, LMHC,CAPNPI 1790078871

Title

Ceo/Owner

Phone

(863) 261-8900

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• America Counseling Services Former legal business name

Locations

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.

• Ellisa Scott, PHD, LMHC

  • Mental Health Counselor
  • Okeechobee, FL
  • NPI 1790078871
  Authorized official Same address or phone

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1245588409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SE 2ND AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349744305",
            "telephone_number": "863-261-8900",
            "fax_number": "863-279-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SE 2ND AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349744305",
            "telephone_number": "863-261-8900",
            "fax_number": "863-279-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING TREE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ELLISA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "863-261-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC,CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH10761",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10761",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH10761",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "FL",
            "license": "MH10761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003835200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "America Counseling Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jennifer Caschetta, PMHNP-BC
• Patrick Lemay Cello, DDS
• Leslie H Cendejas
• CF Physical Therapy Inc (Physical Therapy of Okeechobee)
• Miranda J Chandler, PA
• Nichole Chapa
• Kellie M Chapman, LMHC
• Muhammad Ashraf Chaudhary, M.D.
• Childrens Counseling Network, LLC.
• Kathleen Christian, CNM, WHNP, FNP

• Professional Counselor in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.