Launching Change Counseling and Wellness Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LAUNCHING CHANGE COUNSELING AND WELLNESS CENTER LLC

Practice address

215 Highland Ave Ste C
Haddon Township, NJ 08108-2634

Phone

(856) 425-0546

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly Laverne Tribbett, MA, LPC, NCCNPI 1508520933

Title

Executive Director

Phone

(856) 425-0546

Specialties & licenses 1

Addresses

Other names 1

• Launching Change Counseling and Wellness Center Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Laverne Tribbett, MA, LPC, NCC

  • Mental Health Counselor
  • Haddon Township, NJ
  • NPI 1508520933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723248000000",
    "number": "1639907256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HIGHLAND AVE STE C",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082634",
            "telephone_number": "856-425-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HIGHLAND AVE STE C",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082634",
            "telephone_number": "856-425-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUNCHING CHANGE COUNSELING AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "TRIBBETT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-425-0546",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Launching Change Counseling and Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Koval, PHARMD
• Tejal Kundaikar
• Charlene Kwintner, LCSW
• Lydia Lam
• Bernadette Lamborne, LCSW
• Laurel Rehabilitation Services, Inc.
• Judith Lazo
• Dawn Marie Lenny, MS, LCSW
• Kevin M Lenny, LCSW
• Raymond K Li, R.PH

• Mental Health Counselor in Haddon Township, NJ
• Providers in Haddon Township, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.