Anchors of Change Psychotherapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ANCHORS OF CHANGE PSYCHOTHERAPY LLC

Practice address

1781 Ira Dr NE
Rio Rancho, NM 87144-5444

Phone

(505) 258-6898

NPI assigned

Jan 6, 2022

Last updated

Jan 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jann Justice, LPCCNPI 1467921544

Title

Owner

Phone

(505) 258-6898

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jann Elizabeth Justice, LPCC

  • Professional Counselor
  • Rio Rancho, NM
  • NPI 1467921544
  NPD Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1306507892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 IRA DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445444",
            "telephone_number": "505-258-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 IRA DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445444",
            "telephone_number": "505-258-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORS OF CHANGE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "JANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-258-6898",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067521",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amethyst Psychiatry and Wellness Clinic
• Nicholas Amirante, LSAA
• Ana Rio Rancho LTD Co (A New Awakening Rio Rancho)
• Jherika J Anaya-Campos
• Elyxcus Jasmyne Anaya
• Hasan David Anderson-Bey, SCHOOL PSYCHOLOGIST
• Cindy Vogt Anderson, MSW, LCSW
• Gabriella Anderson
• Janice M Anderson, RN
• William Wallace Anderson, M.D.

• Professional Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.