NPIMap

Organization Active NPI

Changes Therapeutics Services

Doing business as Changes Therapeutics Services, LLC

  • Group Psychotherapy Psychologist
  • Maryland Heights, MO
National Provider Identifier
1417510934
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
CHANGES THERAPEUTICS SERVICES
Doing business as
Changes Therapeutics Services, LLC
Practice address
12 Fee Fee Rd
Maryland Heights, MO 63043-2729
Phone
(314) 368-8920
Fax
(314) 442-4139
NPI assigned
Apr 19, 2019
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Linda L Peterson, PHD
Title
Owner/Therapist
Phone
(314) 368-2409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X NU Primary

Addresses

Primary practice location

12 Fee Fee Rd
Maryland Heights, MO 63043-2729

Mailing address

523 Sapphire Dr
O Fallon, MO 63366-1889
Phone (314) 368-2409

Other practice location 1

10828 Saint Charles Rock Rd
Saint Ann, MO 63074-1508
Phone (314) 368-2409

Other names 1

  • Changes Therapeutics Services, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250314000236 MO Part B Supplier - Clinic/Group Practice 4385166867 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Ann, MO; Maryland Heights, MO

National Provider Directory

National Provider Directory

Locations

10828 Saint Charles Rock Rd
Saint Ann, MO 63074
Phone (314) 368-2409

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1417510934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 SAPPHIRE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661889",
            "telephone_number": "314-368-2409",
            "fax_number": "314-442-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FEE FEE RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432729",
            "telephone_number": "314-368-8920",
            "fax_number": "314-442-4139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10828 Saint Charles Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Ann",
            "state": "MO",
            "postal_code": "630741508",
            "country_code": "US",
            "telephone_number": "314-368-2409",
            "fax_number": "314-442-4139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHANGES THERAPEUTICS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-09-02",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "314-368-2409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changes Therapeutics Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.