Organization Active NPI

Change Inc.

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1679918833
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2186 Issued in MN
Legal business name
CHANGE INC.
Practice address
381 Robie St E
Saint Paul, MN 55107-2415
Phone
(651) 222-0757
Fax
(651) 290-2703
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Jo A. Nelson, ED.D., M.A., LMFT
Title
Executive Director
Phone
(651) 222-0757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2186 MN Primary

Addresses

Primary practice location

381 Robie St E
Saint Paul, MN 55107-2415

Mailing address

381 Robie St E
Saint Paul, MN 55107-2415
Phone (651) 222-0757

National Provider Directory

National Provider Directory
Tax ID family
Change Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1679918833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 ROBIE ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072415",
            "telephone_number": "651-222-0757",
            "fax_number": "651-290-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 ROBIE ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072415",
            "telephone_number": "651-222-0757",
            "fax_number": "651-290-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-222-0757",
        "authorized_official_credential": "ED.D., M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "2186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.