Jeanie Yu-Gin Chang, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1872 Issued in NC

Practice address

901 Kildaire Farm Rd
Cary, NC 27511-3937

Phone

(919) 867-1191

NPI assigned

Feb 20, 2016

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jeanie Chang Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1467811380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 KILDAIRE FARM RD # C1-C",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113937",
            "telephone_number": "919-867-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113937",
            "telephone_number": "919-867-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Crescent Commons Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188102",
            "country_code": "US",
            "telephone_number": "919-803-3707",
            "fax_number": "919-803-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JEANIE",
        "middle_name": "YU-GIN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-20",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "11031A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jeaniechang@yourchangeprovider.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Communication",
            "address_1": "901 Kildaire Farm Rd # C1-C",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275113937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JEANIE",
            "last_name": "CHANG",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Khushbu Anirudhdha Chandarana, M.D.
• Rajat Chander, M.D.
• Anna S Chandler, BT
• Chitrabharathi Chandrasekaran, M.D
• Audrey Ou Chang
• Kelly Chang, DPT
• Rhoda Yueh Chang, M.D.
• Channel-Markers Consulting LLC
• Christopher Chao, MD
• Irene S.T. Chao, M.D.

• Marriage & Family Therapist in Cary, NC
• Providers in Cary, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.