Organization Active NPI

Chance to Change Supportive Services of Louisiana Inc

  • Mental Health Counselor
  • Lafayette, LA
National Provider Identifier
1629988993
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHANCE TO CHANGE SUPPORTIVE SERVICES OF LOUISIANA INC
Practice address
201 Rue Beauregard Ste 202
Lafayette, LA 70508-3251
Phone
(229) 809-0300
NPI assigned
Sep 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Chestine Washington
Title
Owner
Phone
(229) 809-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

201 Rue Beauregard Ste 202
Lafayette, LA 70508-3251

Mailing address

18980 Harbor Side Blvd
Montgomery, TX 77356-3224

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1629988993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 HARBOR SIDE BLVD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUE BEAUREGARD STE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083251",
            "telephone_number": "229-809-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE TO CHANGE SUPPORTIVE SERVICES OF LOUISIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "CHESTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-809-0300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.