Organization Active NPI

Changes Counseling Center, LLC

  • Mental Health Counselor
  • N Charleston, SC
National Provider Identifier
1336592310
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4771 Issued in SC
Legal business name
CHANGES COUNSELING CENTER, LLC
Practice address
9279 Medical Plaza Dr
Suite B2
N Charleston, SC 29406-9141
Phone
(843) 619-7989
NPI assigned
Jul 14, 2016
Last updated
Jul 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Kimberly F Finucan
Title
Owner/Ceo
Phone
(843) 619-7989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4771 SC Primary

Addresses

Primary practice location

9279 Medical Plaza Dr
Suite B2
N Charleston, SC 29406-9141

Mailing address

9279 Medical Plaza Dr
Suite B2
N Charleston, SC 29406-9141

National Provider Directory

National Provider Directory

Locations

9279 Medical Plaza Dr
Ste B2
North Charleston, SC 29406
Phone (843) 619-7989

Practitioners & affiliated clinicians

Practitioners 2

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": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1336592310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9279 MEDICAL PLAZA DR",
            "address_2": "SUITE B2",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9279 MEDICAL PLAZA DR",
            "address_2": "SUITE B2",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069141",
            "telephone_number": "843-619-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "FINUCAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "843-619-7989"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.