A Change Counseling Center Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CP00000521 Issued in WA

Legal business name

A CHANGE COUNSELING CENTER INC.

Practice address

4002 S M St Ste C
Tacoma, WA 98418-3800

Phone

(253) 473-1844

Fax

(253) 473-1839

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melinda J Broussard

Title

Office Manager

Phone

(253) 473-1844

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457458721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 S M ST STE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984183800",
            "telephone_number": "253-473-1844",
            "fax_number": "253-473-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S M ST STE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984183800",
            "telephone_number": "253-473-1844",
            "fax_number": "253-473-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHANGE COUNSELING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-473-1844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "CP00000521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS ID",
            "identifier": "1328",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 2 Hands Studio, LCC
• 4755 South 48TH Street Operations LLC
• 6TH Avenue Senior Living, LLC
• A Better Type of Homecare
• A Change Counseling Center
• A Communication Space PLLC
• A League of Action Community Development Corporation
• A People of Prosperity
• A Puget Sound Massage Clinic, LLC
• A Step Ahead in Pierce County

• Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Counselor in Washington

• 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.