Choice 2 Change Therapy, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CHOICE 2 CHANGE THERAPY, INC.

Practice address

217 Wisconsin Ave Ste 114
Waukesha, WI 53186-4946

Phone

(414) 301-1518

Fax

(414) 301-7498

NPI assigned

Feb 1, 2019

Last updated

Feb 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole FlanneryNPI 1750741013

Title

Owner

Phone

(414) 301-1518

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Nicole Flannery, MS, CSAC, LPC, ICS-I

  • Professional Counselor
  • Waukesha, WI
  • NPI 1750741013

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1467917609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WISCONSIN AVE STE 114",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WISCONSIN AVE STE 114",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864946",
            "telephone_number": "414-301-1518",
            "fax_number": "414-301-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE 2 CHANGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-301-1518"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.