Organization Active NPI

Winds of Change Counseling and Consulting Service Inc.

  • Mental Health Counselor
  • Winchester, IN
National Provider Identifier
1447237771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WINDS OF CHANGE COUNSELING AND CONSULTING SERVICE INC.
Practice address
211 S Main St
Winchester, IN 47394-1824
Phone
(765) 584-7409
Fax
(765) 584-1908
NPI assigned
Dec 28, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eldon R Solomon, LMHC, MS
Title
Owner
Phone
(765) 584-7409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

211 S Main St
Winchester, IN 47394-1824

Mailing address

211 S Main St
Winchester, IN 47394-1824
Phone (765) 584-7409

Other identifiers 5

IdentifierTypeStateIssuer
7049077OtherINAETNA GROUP #
000000321933OtherINBC/BS GROUP #
000000490923OtherINBCBS
226209OtherINTRICARE GROUP #
488743OtherINVALUE OPTIONS GRP #

National Provider Directory

National Provider Directory

Locations

211 S Main St
Winchester, IN 47394
Phone (765) 584-7409

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447237771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473941824",
            "telephone_number": "765-584-7409",
            "fax_number": "765-584-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473941824",
            "telephone_number": "765-584-7409",
            "fax_number": "765-584-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDS OF CHANGE COUNSELING AND CONSULTING SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "ELDON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-584-7409",
        "authorized_official_credential": "LMHC, MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP #",
            "identifier": "7049077",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP #",
            "identifier": "000000321933",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000490923",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE GROUP #",
            "identifier": "226209",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS GRP #",
            "identifier": "488743",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.