Organization Active NPI

Change Me Foundation Inc.

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1609609148
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Dr. Bradley Ogletree, LPCNPI 1568959245
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.