Dynamic Changes Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DYNAMIC CHANGES COUNSELING LLC

Practice address

1190 Jefferson St Ste 102
Washington, MO 63090-4443

Phone

(314) 808-1250

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Tracey H Roberts

Title

Owner

Phone

(314) 808-1250

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Deanne Roberts, LPC

  • Professional Counselor
  • Union, MO
  • NPI 1467949404
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1265925374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 CAMILLA LN",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630773864",
            "telephone_number": "314-808-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 JEFFERSON ST STE 102",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904443",
            "telephone_number": "314-808-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHANGES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-808-1250"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Tyler, LLC
• Gary Dumontier, M.D.
• Douglas Don Durand, M.D.
• Kaitlyn Durbin, DPT
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• Sarah Jean Dyson, MD
• Melissa Ellen Eaton, PLPC
• Julia E Eckardt, RN BC FNPC
• Christy F Eckert
• Mohan Mallikarjuna Edupuganti, M.D.

• Professional Counselor in Washington, MO
• Providers in Washington, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.