Changing Lifestyle Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

11408 Issued in MN

Legal business name

CHANGING LIFESTYLE COUNSELING CENTER

Practice address

11900 Wayzata Blvd Ste 116G
Minnetonka, MN 55305-2018

Phone

(952) 542-8751

Fax

(952) 582-9395

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marsha Kay Molinari, L.I.C.S.WNPI 1306975206

Title

Owner

Phone

(952) 542-8751

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.

• Marsha Kay Molinari, L.I.C.S.W.

  • Clinical Social Worker
  • Minnetonka, MN
  • NPI 1306975206
  NPD (past) Authorized official

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1295919397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD STE 116G",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052018",
            "telephone_number": "952-542-8751",
            "fax_number": "952-582-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD STE 116G",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052018",
            "telephone_number": "952-542-8751",
            "fax_number": "952-582-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIFESTYLE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "MOLINARI",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-542-8751",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.I.C.S.W"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "11408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Cervenka
• Sonja Chafin, RN,CFNP
• Nathan A Champine, PA-C
• Nathan Michael Champion, N.D.
• Nita Jill Champion, N.D.
• Kayla Chapman
• Charles L Hirt DDS PA
• Arif Riaz Chaudhry, MD
• Jillian Chavez
• Rachel Palmer Chawla, LGSW

• Community/Behavioral Health Agency in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.