The Change Agency

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

THE CHANGE AGENCY

Practice address

2400 W Stroop Rd
Moraine, OH 45439-2041

Phone

(937) 315-0030

Fax

(937) 701-6901

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Jeorge L Logan, MSSA,LICDC,CPS-S

Title

Director

Phone

(937) 303-6727

Specialties & licenses 3

Addresses

Other names 1

• Adullam Sober Living Program Other name

Tax ID family

The Change Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Change Agency

  • Non-emergency Medical Transport (VAN)
  • Moraine, OH
  • NPI 1265186001
  NPD tax ID
• The Change Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1275411258
  NPD tax ID

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1306449384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W STROOP RD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454392041",
            "telephone_number": "937-315-0030",
            "fax_number": "937-701-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W STROOP RD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454392041",
            "telephone_number": "937-315-0030",
            "fax_number": "937-701-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHANGE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-303-6727",
        "authorized_official_credential": "MSSA,LICDC,CPS-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adullam Sober Living Program",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adullam Sober Living Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Hope Taylor
• Josephine Taylor, LSW
• Andre Terrell
• Valencia Lanier Terrell
• The Change Agency
• Donald Edward Thomas, CDCA
• Janiece Thomas
• Katie Louise Thomas
• Lisa Thomas
• Tamara M Thomas, BS

• Counselor in Moraine, OH
• Providers in Moraine, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.