Changing Cycles, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC2555 Issued in MD

Legal business name

CHANGING CYCLES, LLC

Practice address

14460 Old Mill Rd
Suite 201
Upper Marlboro, MD 20772-3092

Phone

(301) 357-6605

NPI assigned

Aug 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Keyona Shantrice Thomas-Kelly, PSY.D., MA, LCPC

Title

Vice-President and Coo

Phone

(301) 357-6605

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1265713705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 LEONARDTOWN RD",
            "address_2": "SUITE 206",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013678",
            "telephone_number": "301-357-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14460 OLD MILL RD",
            "address_2": "SUITE 201",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723092",
            "telephone_number": "301-357-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING CYCLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS-KELLY",
        "authorized_official_first_name": "KEYONA",
        "authorized_official_middle_name": "SHANTRICE",
        "authorized_official_title_or_position": "VICE-PRESIDENT AND COO",
        "authorized_official_telephone_number": "301-357-6605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2555",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC13986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440314200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.