Effective Life Changing Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

60312005 Issued in WA

Legal business name

EFFECTIVE LIFE CHANGING COUNSELING

Practice address

711 S Carson St Ste 4
Fpo
Carson City, NV 89701-5292

Phone

(631) 772-9644

NPI assigned

Oct 10, 2014

Organization subpart

Yes

Parent organization

EFFECTIVE LIFE CHANGING COUNSELINGAs reported in NPPES

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

Authorized official

Name

Kori Allison Brown

Title

LCSW

Phone

(631) 772-9644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1295139822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S CARSON ST STE 4",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S CARSON ST STE 4",
            "address_2": "FPO",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015292",
            "telephone_number": "631-772-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE LIFE CHANGING COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EFFECTIVE LIFE CHANGING COUNSELING",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KORI",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "631-772-9644"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "60312005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Earp
• John S. Edgcomb, MD
• Dimitry James Ediss, DC
• John James Ediss, DC
• Michael Edmunds
• Ehs Nevada, LLC
• Lacey Eichhorst, MSN, APRN, FNP-C
• Brett Eisenmesser, MD
• Elevation Nurse Anesthesiology
• Debra Elkins

• Community/Behavioral Health Agency in Carson City, NV
• Providers in Carson City, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.