About Change Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABOUT CHANGE COUNSELING

Practice address

1532 Weatherstone LN
Elgin, IL 60123-2019

Phone

(847) 668-8969

Fax

(847) 488-1401

NPI assigned

Sep 8, 2011

Last updated

Sep 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Charles Ideran, LCPCNPI 1144339714

Title

Director

Phone

(847) 668-8969

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• David Charles Ideran, MHS, CADC, LCPC

  • Professional Counselor
  • Elgin, IL
  • NPI 1144339714
  NPD (past) Authorized official

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1487935029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 WEATHERSTONE LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232019",
            "telephone_number": "847-668-8969",
            "fax_number": "847-488-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 WEATHERSTONE LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232019",
            "telephone_number": "847-668-8969",
            "fax_number": "847-488-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT CHANGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "IDERAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-668-8969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Elgin, IL
• Providers in Elgin, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.