Manifesting Change Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MANIFESTING CHANGE THERAPY LLC

Practice address

139 N Pohakea Dr
Bastrop, TX 78602-7222

Phone

(512) 502-4428

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Rachel HumphriesNPI 1871232041

Title

Owner

Phone

(512) 502-4428

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rachel Humphries, LPC

  • Counselor
  • Bastrop, TX
  • NPI 1871232041

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1386342483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N POHAKEA DR",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786027222",
            "telephone_number": "512-502-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N POHAKEA DR",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786027222",
            "telephone_number": "512-502-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTING CHANGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-502-4428"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Maceri, LMT
• Tamara Maceri
• Bryleigh Macgregor
• Charity E Mahlman, COTA
• Main Street
• Kelly Manuel, LCSW
• Marci a. Roy, M. D., PLLC
• Mark Malone MD PA
• Raquel Marquez
• Ryan J Marsh

• Mental Health Counselor in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.