NPIMap

Organization Active NPI

Be the Change Global Wellness, Corp

Doing business as Be the Change Global Wellness

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1396490637
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BE THE CHANGE GLOBAL WELLNESS, CORP
Doing business as
Be the Change Global Wellness
Practice address
240 N Milwaukee St # 202
Milwaukee, WI 53202-5830
Phone
(888) 839-6181
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Joelle Kathleen OttosonNPI 1679591416
Title
Co-Owner
Phone
(888) 839-6181

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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

240 N Milwaukee St # 202
Milwaukee, WI 53202-5830

Mailing address

240 N Milwaukee St # 202
Milwaukee, WI 53202-5830
Phone (888) 839-6181

Other names 1

  • Be the Change Global Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230602001024 WI Part B Supplier - Clinic/Group Practice 3779940960 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1396490637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N MILWAUKEE ST # 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025830",
            "telephone_number": "888-839-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N MILWAUKEE ST # 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025830",
            "telephone_number": "888-839-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE THE CHANGE GLOBAL WELLNESS, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "OTTOSON",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "888-839-6181"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be the Change Global Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Be the Change Global Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.