Organization Active NPI

Change Through Transition, LTD

  • Community/Behavioral Health Agency
  • Muskegon, MI
National Provider Identifier
1326560970
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHANGE THROUGH TRANSITION, LTD
Practice address
3375 Merriam St Ste 202
Muskegon, MI 49444-3173
Phone
(586) 467-0447
NPI assigned
Jul 14, 2017
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Dr. Elaine Marie Beauchamp, SOCIAL WORKERNPI 1568717635
Title
Director
Phone
(616) 222-0851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6801057813 MI

Addresses

Primary practice location

3375 Merriam St Ste 202
Muskegon, MI 49444-3173

Mailing address

PO Box 150137
Grand Rapids, MI 49515-0137
Phone (616) 821-8111

Other identifiers 2

IdentifierTypeStateIssuer
1568717635OtherMINPI
6801057813OtherMISW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171009003586 MI Part B Supplier - Clinic/Group Practice 7012282585 Receives reassigned benefits from 1 practitioner
Practice locations: Muskegon, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1326560970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150137",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495150137",
            "telephone_number": "616-821-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MERRIAM ST STE 202",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443173",
            "telephone_number": "586-467-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE THROUGH TRANSITION, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-222-0851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6801057813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568717635",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SW LICENSE",
            "identifier": "6801057813",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.