Active NPI
Change Me Foundation Inc.
- Professional Counselor
- Columbus, GA
National Provider Identifier
1609609148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CHANGE ME FOUNDATION INC.
- Practice address
- 1300 Wynnton Rd Ste 102
Columbus, GA 31906-5705 - Phone
- (706) 464-1300
- NPI assigned
- Aug 21, 2024
- 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
- Dr. Bradley Ogletree, LPC
- Title
- Director-Ceo
- Phone
- (706) 464-1300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1300 Wynnton Rd Ste 102
Columbus, GA 31906-5705
Mailing address
395 Dogwood Dr
Columbus, GA 31907-5434
Phone (706) 464-1300
National Provider Directory
National Provider DirectoryLocations
1300 Wynnton Rd
Ste 102
Columbus, GA 31906
Phone (404) 692-1801
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Columbus, GA
- NPI 1568959245
-
- Surgery Physician
- Atlanta, GA
- NPI 1841464609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1609609148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 DOGWOOD DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319075434",
"telephone_number": "706-464-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 WYNNTON RD STE 102",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319065705",
"telephone_number": "706-464-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGE ME FOUNDATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "OGLETREE",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "DIRECTOR-CEO",
"authorized_official_telephone_number": "706-464-1300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.