Canvas of Change, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CANVAS OF CHANGE, LLC

Doing business as

Carie Cagle

Practice address

555 N Woodlawn St Ste 120
Wichita, KS 67208-3678

Phone

(316) 201-6294

NPI assigned

Aug 25, 2025

Organization subpart

No

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

Authorized official

Name

Lydia Tilton

Title

Credentialing

Phone

(316) 691-2966

Specialties & licenses 1

Addresses

Other names 1

• Carie Cagle Doing business as

Practitioners 1

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

• Carie Cagle, LPC

  • Professional Counselor
  • Wichita, KS
  • NPI 1407235450
  NPD

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1598643801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST STE 120",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST STE 120",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083678",
            "telephone_number": "316-201-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANVAS OF CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "TILTON",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "316-691-2966"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carie Cagle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary S Cannizzo, ATC, LAT
• Susan M. Cantele, M.S., CCC
• Shanise Cantrell, PTA
• Trena Cantrell
• Karen L Cantu
• Phuonglan Cat Cao, PHARM.D.
• Tom Tam Cao, PHARMD
• John D Caporale, LCP
• Stephanie Capoun
• Stanley L Capper, MD

• Professional Counselor in Wichita, KS
• Providers in Wichita, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.