Organization Active NPI

A Change Begins Within LLC

Doing business as A Change Begins Within

  • Clinical Social Worker
  • Benton Harbor, MI
National Provider Identifier
1275011603
Registry record updated Jul 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093528 Issued in MI
Legal business name
A CHANGE BEGINS WITHIN LLC
Doing business as
A Change Begins Within
Practice address
818 S Crystal Ave
Benton Harbor, MI 49022-1618
Phone
(269) 325-8084
NPI assigned
Jul 28, 2018
Last updated
Jul 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2018

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

Authorized official

Name
Marian Tripplett, LMSWNPI 1851720338
Title
Ceo/Founder
Phone
(269) 325-8084

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
Clinical Social Worker 1041C0700X 6801093528 MI Primary

Addresses

Primary practice location

818 S Crystal Ave
Benton Harbor, MI 49022-1618

Mailing address

818 S Crystal Ave
Benton Harbor, MI 49022-1618
Phone (269) 325-8084

Other names 1

  • A Change Begins Within Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532736000000",
    "number": "1275011603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 S CRYSTAL AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490221618",
            "telephone_number": "269-325-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 S CRYSTAL AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490221618",
            "telephone_number": "269-325-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHANGE BEGINS WITHIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-28",
        "last_updated": "2018-07-28",
        "status": "A",
        "authorized_official_last_name": "TRIPPLETT",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "269-325-8084",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Change Begins Within",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.