Changed Lives Substance Abuse Treatment

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHANGED LIVES SUBSTANCE ABUSE TREATMENT

Practice address

149 Deweese St
Lexington, KY 40507-1925

Phone

(859) 368-4105

NPI assigned

Nov 25, 2019

Last updated

Nov 2, 2020By 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

Christopher T Cox, LPCC, LCADCNPI 1447745922

Title

Owner

Phone

(859) 368-4105

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 5

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.

• Christopher Todd Cox, M.ED. LPCA,CADC

  • Addiction (Substance Use Disorder) Counselor
  • Lexington, KY
  • NPI 1447745922

  Mental Health

  Medicare reassignment NPD Authorized official
• Vicky Lynn Casey, APRN

  • Family Nurse Practitioner
  • Cynthiana, KY
  • NPI 1568012227
  Medicare reassignment NPD
• Jessica Elizabeth Duval, LCSW, LCADC

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1295236537
  Medicare reassignment NPD
• Miranda Hagan, APRN

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1003404534
  Medicare reassignment NPD
• Benjamin Marshall, M.D.

  • Psychiatry Physician
  • Somerset, KY
  • NPI 1740574052
  Medicare reassignment NPD

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1609412618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DEWEESE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DEWEESE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071925",
            "telephone_number": "859-368-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGED LIVES SUBSTANCE ABUSE TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-368-4105",
        "authorized_official_credential": "LPCC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCADC",
            "identifier": "246158",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCC",
            "identifier": "266252",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Elizabeth Chang
• Phillip Chang, MD
• Sarah Chang, OD
• Shih-Wei Chang
• William Lowther Chang
• Augustine Chapin, APRN
• Jamie Lynn Chapman
• Lauren Michelle Chapman, MS, OTR/L
• Paula D Chapman, CMA AAMA
• Sally Mudd Chapman, R.N.

• Mental Health Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.