Organization Active NPI

Lasting Change Therapy LLC

  • Adult Mental Health Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1639699267
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
4691 Issued in OK
Legal business name
LASTING CHANGE THERAPY LLC
Practice address
10600 S Penn Ave Ste 16-915
Oklahoma City, OK 73170-4256
Phone
(405) 237-5782
NPI assigned
Jun 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Thai-an Truong, LPC, LADCNPI 1508169533
Title
Owner
Phone
(405) 237-5782

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
Adult Mental Health Clinic/Center 261QM0850X 4691 OK Primary

Addresses

Primary practice location

10600 S Penn Ave Ste 16-915
Oklahoma City, OK 73170-4256

Mailing address

10600 S Penn Ave Ste 16-915
Oklahoma City, OK 73170-4256
Phone (405) 237-5782

National Provider Directory

National Provider Directory

Locations

10600 S Pennsylvania Ave
Ste 16915
Oklahoma City, OK 73170
Phone (405) 237-5782

10317 Greenbriar Pl
Ste 400
Oklahoma City, OK 73159
Phone (918) 745-0095

Practitioners & affiliated clinicians

Practitioners 1

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": "1498262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1639699267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 S PENN AVE STE 16-915",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704256",
            "telephone_number": "405-237-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 S PENN AVE STE 16-915",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704256",
            "telephone_number": "405-237-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING CHANGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-24",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "THAI-AN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-237-5782",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OK",
            "license": "4691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.