Active NPI
Life Changes Counseling & Consulting, Inc
- Community/Behavioral Health Agency
- Clovis, NM
National Provider Identifier
1275812992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0106271
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.