Courage to Change, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

3300106600 Issued in KY

Legal business name

COURAGE TO CHANGE, INC.

Practice address

474 Barbourville Rd
Suite 2
London, KY 40744-9302

Phone

(606) 877-9008

Fax

(606) 877-1785

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David T Tipton, LPC

Title

Executive Director Owner

Phone

(606) 877-9008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457406613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 BARBOURVILLE RD",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407449302",
            "telephone_number": "606-877-9008",
            "fax_number": "606-877-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 BARBOURVILLE RD",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407449302",
            "telephone_number": "606-877-9008",
            "fax_number": "606-877-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR  OWNER",
        "authorized_official_telephone_number": "606-877-9008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KY",
            "license": "3300106600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Brian Cooke, PHARMD
• Chad Mitchell Cooper, D.P.M.
• Charlotte Cornett, RPH
• Cynthia Begley Couch, DMD
• Courage to Change Counseling Services LLC
• Jeffrey D. Cox, MS, ATC, CSCS
• Kelsey Makay Craft, LCSW
• Jennifer L Crane, LMT
• James Crawford II, PHARMD
• Mark Douglas Crawford II, PA-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in London, KY
• Providers in London, KY by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Kentucky

• 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.