NPIMap

Organization Active NPI

Changemakers,LLC

  • Community/Behavioral Health Agency
  • East Point, GA
National Provider Identifier
1477990919
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC005238 Issued in GA
Legal business name
CHANGEMAKERS,LLC
Practice address
3021 Washington Rd
East Point, GA 30344-4529
Phone
(404) 766-2211
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Dr. Adrienne H Berry, LPC,NCC,CPCS,CAMS
Title
Ceo/Psychotherapist
Phone
(404) 766-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC005238 GA Primary

Addresses

Primary practice location

3021 Washington Rd
East Point, GA 30344-4529

Mailing address

3021 Washington Rd
East Point, GA 30344-4529
Phone (404) 766-2211

National Provider Directory

National Provider Directory

Locations

3021 Washington Rd
East Point, GA 30344
Phone (404) 766-2211

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1477990919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 WASHINGTON RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444529",
            "telephone_number": "404-766-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 WASHINGTON RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444529",
            "telephone_number": "404-766-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGEMAKERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-766-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC,NCC,CPCS,CAMS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC005238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.