Organization Active NPI

Be the Change Counseling and Consultation Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Statesville, NC
National Provider Identifier
1487314001
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BE THE CHANGE COUNSELING AND CONSULTATION SERVICES PLLC
Practice address
2407 Simonton Rd
Statesville, NC 28625-8247
Phone
(843) 412-2182
NPI assigned
Dec 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Shameka Harley Chambers, LCSW
Title
LCSW/Owner
Phone
(843) 412-2182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2407 Simonton Rd
Statesville, NC 28625-8247

Mailing address

PO Box 152
Barium Springs, NC 28010-0152
Phone (843) 412-2182

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1487314001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "BARIUM SPRINGS",
            "state": "NC",
            "postal_code": "280100152",
            "telephone_number": "843-412-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 SIMONTON RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258247",
            "telephone_number": "843-412-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE THE CHANGE COUNSELING AND CONSULTATION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_middle_name": "HARLEY",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "843-412-2182",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.