Organization Active NPI

Life Changes Counseling & Consulting, Inc

  • Community/Behavioral Health Agency
  • Clovis, NM
National Provider Identifier
1275812992
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0106271 Issued in NM
Legal business name
LIFE CHANGES COUNSELING & CONSULTING, INC
Practice address
2300 N Main St Ste 29
Clovis, NM 88101-3575
Phone
(575) 693-8230
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Mr. Carlton D Lewis, LCMHC
Title
President/Counselor
Phone
(575) 693-8230

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0106271 NM Primary
Community/Behavioral Health Agency 251S00000X I-06845 NM
Community/Behavioral Health Agency 251S00000X M-07179 NM
Community/Behavioral Health Agency 251S00000X 0125231 NM

Addresses

Primary practice location

2300 N Main St Ste 29
Clovis, NM 88101-3575

Mailing address

2701 Putnam Dr
Clovis, NM 88101-9351
Phone (575) 693-8230

National Provider Directory

National Provider Directory

Locations

215 N Main St
Clovis, NM 88101
Phone (575) 935-5550

2300 N Main St
Ste 29
Clovis, NM 88101
Phone (575) 693-8230

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1275812992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 PUTNAM DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019351",
            "telephone_number": "575-693-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N MAIN ST STE 29",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013575",
            "telephone_number": "575-693-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES COUNSELING & CONSULTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/COUNSELOR",
        "authorized_official_telephone_number": "575-693-8230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0106271",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-06845",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "M-07179",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0125231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.