NPIMap

Organization Active NPI

Changing Minds/Changing Lives Home Management & Life Coaching Center

  • Point of Service
  • Clinton, MD
National Provider Identifier
1255879680
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
CHANGING MINDS/CHANGING LIVES HOME MANAGEMENT & LIFE COACHING CENTER
Practice address
6300 Edward Dr
Clinton, MD 20735-4135
Phone
(571) 241-6966
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Brenda Jones, CERTIFIEDNPI 1497291793
Title
Counselor/Life Coach
Phone
(571) 241-6966

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
Point of Service 305S00000X Primary

Addresses

Primary practice location

6300 Edward Dr
Clinton, MD 20735-4135

Mailing address

6300 Edward Dr
Clinton, MD 20735-4135

National Provider Directory

National Provider Directory

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": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1255879680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 EDWARD DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 EDWARD DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354135",
            "telephone_number": "571-241-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING MINDS/CHANGING LIVES HOME MANAGEMENT & LIFE COACHING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "COUNSELOR/LIFE COACH",
        "authorized_official_telephone_number": "571-241-6966",
        "authorized_official_credential": "CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.