The Change From Within Counseling Center PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE CHANGE FROM WITHIN COUNSELING CENTER PLLC

Practice address

221 1St Ave NW Ste 207
Hickory, NC 28601-6149

Phone

(828) 312-0850

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tia EvansNPI 1932517836

Title

Owner/Therapist

Phone

(828) 312-0850

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tia Theann Evans, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1932517836
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1689236812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 MAYBLE ST",
            "city": "CATAWBA",
            "state": "NC",
            "postal_code": "286099306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 1ST AVE NW STE 207",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016149",
            "telephone_number": "828-312-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHANGE FROM WITHIN COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "828-312-0850"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Teller-Rosado, CDP
• Brandie Terifaj
• Terra C. Caudill, MD, Ms, PLLC
• Nancy Thao
• Chase Aaron Tharpe, PHARMD
• The Charlotte-Mecklenburg Hospital Authority (Carolinas Pediatric Neurology Care - Hickory)
• The Childhealth Center, PA
• The Counseling Group, P.a.
• The Mental Health Fund (Catawba Valley Behavioral HealthCare)
• The Mental Health Fund Inc (Catawba Valley Behavioral Healthcare)

• Clinical Social Worker in Hickory, NC
• Providers in Hickory, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.