Active NPI
Change Inc.
- Community/Behavioral Health Agency
- Saint Paul, MN
National Provider Identifier
1679918833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2186
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Marriage & Family Therapist
- Saint Paul, MN
- NPI 1255473641
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Minneapolis, MN
- NPI 1972948107
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.