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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Statesville, NC
- NPI 1639495088
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.