Active NPI
Changes Counseling Center, LLC
- Mental Health Counselor
- N Charleston, SC
National Provider Identifier
1336592310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4771
- 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, 2016
- 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
- Kimberly F Finucan
- Title
- Owner/Ceo
- Phone
- (843) 619-7989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Charleston, SC
- NPI 1275769457
-
- Clinical Nurse Specialist
- Charleston, SC
- NPI 1902914856
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.