Organization Active NPI

One Change Group Inc

  • Mental Health Counselor
  • Sandpoint, ID
National Provider Identifier
1477115384
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ONE CHANGE GROUP INC
Practice address
710 W Superior St Ste C
Sandpoint, ID 83864-1684
Phone
(208) 304-5499
Fax
(855) 978-1004
NPI assigned
Jul 1, 2019
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Amy Topp
Title
Director of Operations
Phone
(208) 304-5499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

710 W Superior St Ste C
Sandpoint, ID 83864-1684

Mailing address

PO Box 1121
Sagle, ID 83860-1121
Phone (208) 304-5499

Other practice location 1

8091 SE Engelmann St
Hillsboro, OR 97123-4267
Phone (208) 304-5499

Other identifiers 1

IdentifierTypeStateIssuer
IDTPID013592MedicaidID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1477115384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1121",
            "city": "SAGLE",
            "state": "ID",
            "postal_code": "838601121",
            "telephone_number": "208-304-5499",
            "fax_number": "855-978-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W SUPERIOR ST STE C",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641684",
            "telephone_number": "208-304-5499",
            "fax_number": "855-978-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8091 SE Engelmann St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234267",
            "country_code": "US",
            "telephone_number": "208-304-5499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE CHANGE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "TOPP",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "208-304-5499"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IDTPID013592",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.