NPIMap

Organization Active NPI

Changing Matters

  • Clinical Social Worker
  • Amite, LA
National Provider Identifier
1356771232
Registry record updated Nov 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8468 Issued in LA
Legal business name
CHANGING MATTERS
Practice address
411 E Mulberry St
Amite, LA 70422-2527
Phone
(225) 252-2212
Fax
(985) 748-8515
NPI assigned
Nov 14, 2013
Last updated
Nov 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2013

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

Authorized official

Name
Rachel Davis, LCSWNPI 1619149382
Title
Owner / Clinical Director
Phone
(225) 252-2212

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
Addiction (Substance Use Disorder) Counselor 101YA0400X 1009 LA
Clinical Social Worker 1041C0700X 8468 LA Primary

Addresses

Primary practice location

411 E Mulberry St
Amite, LA 70422-2527

Mailing address

PO Box 476
Amite, LA 70422-0476
Phone (225) 252-2212

Other identifiers 1

IdentifierTypeStateIssuer
600551753MedicaidLA

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": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385769600000",
    "number": "1356771232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704220476",
            "telephone_number": "225-252-2212",
            "fax_number": "985-748-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E MULBERRY ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222527",
            "telephone_number": "225-252-2212",
            "fax_number": "985-748-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING MATTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "225-252-2212",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1009",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600551753",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2013; 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.