Insightful Changes Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INSIGHTFUL CHANGES COUNSELING, LLC

Practice address

94 Forest Meadow TRL
Rochester, NY 14624-1137

Phone

(716) 307-8403

NPI assigned

Apr 4, 2024

Last updated

Jun 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaitlee DerxNPI 1285097931

Title

LCSW/Owner

Phone

(716) 307-8403

Specialties & licenses 2

Addresses

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.

• Kaitlee Derx

  • Addiction (Substance Use Disorder) Counselor
  • Victor, NY
  • NPI 1285097931
  NPD Authorized official

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1396597092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 FOREST MEADOW TRL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241137",
            "telephone_number": "716-307-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 FOREST MEADOW TRL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241137",
            "telephone_number": "716-307-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1687 English Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146161692",
            "country_code": "US",
            "telephone_number": "716-307-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSIGHTFUL CHANGES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "DERX",
        "authorized_official_first_name": "KAITLEE",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "716-307-8403"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Rochester, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.