Conversations for Change Counseling Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONVERSATIONS FOR CHANGE COUNSELING SERVICES, INC.

Practice address

31674 Center Ridge Rd Ste 102
North Ridgeville, OH 44039-2401

Phone

(440) 484-3229

NPI assigned

Oct 12, 2019

Organization subpart

No

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

Authorized official

Name

Susanne Sacco, LISWNPI 1649648452

Title

Clinical Therapist

Phone

(630) 946-4045

Specialties & licenses 1

Addresses

Other names 1

• Conversations for Change Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susanne Sacco, LISW

  • Clinical Social Worker
  • Westlake, OH
  • NPI 1649648452
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1376185157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29882 ADAMS LN",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456423",
            "telephone_number": "630-946-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31674 CENTER RIDGE RD STE 102",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392401",
            "telephone_number": "440-484-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERSATIONS FOR CHANGE COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-12",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "SACCO",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "630-946-4045",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conversations for Change Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conversations for Change Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaycie Churchill
• James P Cicero, OCCUPATIONAL THERAPI
• City of North Ridgeville
• Anna Lisa Clark, LISW, LICDC
• Kimberley M Clough
• Kathleen Cook, BCBA
• Karen Cooney, OTR/L
• Kathleen Ann Cooper, PTA
• Yalesia Nicole Cooper, LPN
• James Cordaro

• Clinical Social Worker in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.

Verify at the official NPI Registry.