Organization Active NPI

Lead Change Counseling, PLLC

  • Clinical Social Worker
  • New Hill, NC
National Provider Identifier
1700733631
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEAD CHANGE COUNSELING, PLLC
Practice address
4728 Old US 1 Hwy
New Hill, NC 27562-9782
Phone
(919) 271-8579
NPI assigned
Mar 11, 2026
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Amanda Superville, LCSWNPI 1497822027
Title
Owner
Phone
(919) 271-8579

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4728 Old US 1 Hwy
New Hill, NC 27562-9782

Mailing address

2536 Urbino CT
Apex, NC 27502-4730
Phone (919) 271-8579

National Provider Directory

National Provider Directory

Locations

4728 Old US 1 Hwy
New Hill, NC 27562
Phone (919) 271-8579

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": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1700733631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 URBINO CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024730",
            "telephone_number": "919-271-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 OLD US 1 HWY",
            "city": "NEW HILL",
            "state": "NC",
            "postal_code": "275629782",
            "telephone_number": "919-271-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD CHANGE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "SUPERVILLE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-271-8579",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.