Organization Active NPI

Change From Within Counseling Services, LLC

  • Mental Health Counselor
  • Willow Street, PA
National Provider Identifier
1699312884
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHANGE FROM WITHIN COUNSELING SERVICES, LLC
Practice address
2850 Willow Street Pike N Ste B
Willow Street, PA 17584-9231
Phone
(717) 517-9070
Fax
(717) 517-8153
NPI assigned
Dec 6, 2019
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Dawn Marie BaldwinNPI 1194072702
Title
Owner/Professional Counselor
Phone
(717) 517-9070

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2850 Willow Street Pike N Ste B
Willow Street, PA 17584-9231

Mailing address

2850 Willow Street Pike N Ste B
Willow Street, PA 17584-9231
Phone (717) 517-9070

National Provider Directory

National Provider Directory

Locations

2850 Willow Street Pike N
Ste B
Willow Street, PA 17584
Phone (717) 517-9070

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1699312884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 WILLOW STREET PIKE N STE B",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849231",
            "telephone_number": "717-517-9070",
            "fax_number": "717-517-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WILLOW STREET PIKE N STE B",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849231",
            "telephone_number": "717-517-9070",
            "fax_number": "717-517-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE FROM WITHIN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "717-517-9070"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.