Active NPI
Change Through Transition, LTD
- Community/Behavioral Health Agency
- Muskegon, MI
National Provider Identifier
1326560970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elaine Marie Beauchamp, SOCIAL WORKER
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568717635 | Other | MI | NPI |
| 6801057813 | Other | MI | SW LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1568717635
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.