Organization Active NPI

Chance to Change LLC

  • Rehabilitation Counselor
  • North Las Vegas, NV
National Provider Identifier
1720770399
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Legal business name
CHANCE TO CHANGE LLC
Practice address
5135 Camino Al Norte Ste 258
North Las Vegas, NV 89031-2419
Phone
(702) 635-7306
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Dejiah Cobb
Title
Owner
Phone
(702) 635-7306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X Primary

Addresses

Primary practice location

5135 Camino Al Norte Ste 258
North Las Vegas, NV 89031-2419

Mailing address

5332 Mountain Garland LN
N Las Vegas, NV 89081-4034
Phone (661) 916-7396

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1720770399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 MOUNTAIN GARLAND LN",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890814034",
            "telephone_number": "661-916-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 258",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312419",
            "telephone_number": "702-635-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE TO CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "DEJIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-635-7306"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.