Organization Active NPI

Choices 4 Change Counseling and Coaching LLC

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1356978969
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHOICES 4 CHANGE COUNSELING AND COACHING LLC
Practice address
3707 E Southern Ave.
Suite 2027
Mesa, AZ 85206
Phone
(623) 252-1808
Fax
(480) 383-6968
NPI assigned
Mar 24, 2020
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Mr. David Eugene Hobert, LCSWNPI 1659637395
Title
Owner/Therapist
Phone
(623) 252-1808

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3707 E Southern Ave.
Suite 2027
Mesa, AZ 85206

Mailing address

3707 E Southern Ave.
Suite 2027
Mesa, AZ 85206
Phone (623) 252-1808

National Provider Directory

National Provider Directory

Locations

3707 E Southern Ave
Ste 2027
Mesa, AZ 85206
Phone (623) 252-1808

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": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1356978969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE.",
            "address_2": "SUITE 2027",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "623-252-1808",
            "fax_number": "480-383-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE.",
            "address_2": "SUITE 2027",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "623-252-1808",
            "fax_number": "480-383-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES 4 CHANGE COUNSELING AND COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "HOBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "623-252-1808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.