Be the Change Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004430 Issued in VA

Legal business name

BE THE CHANGE COUNSELING SERVICES, LLC

Practice address

800 Blanton Ave
Richmond, VA 23221-3603

Phone

(804) 621-2650

Fax

(804) 369-9709

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Mary Anne Taylor, LCSWNPI 1962401836

Title

Owner

Phone

(804) 621-2650

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary A Taylor, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1962401836
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1487148359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WHITE CEDAR LN",
            "city": "N CHESTERFLD",
            "state": "VA",
            "postal_code": "232355449",
            "telephone_number": "804-621-2650",
            "fax_number": "804-369-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BLANTON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232213603",
            "telephone_number": "804-621-2650",
            "fax_number": "804-369-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE THE CHANGE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-621-2650",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800002554",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aenea Bayliss
• Barbara N Baynard
• Alessandra Bazemore, RN
• BCS of Virginia
• Be Mindful Outreach Service LLC
• Kristen Tomlinson Beabout, DDS
• April Nicole Beach, FNP
• Michael Walter Beach, LCSW
• William R Beach, MD
• Beacon Behavioral Health and Consulting, LLC

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.