NPIMap

Organization Active NPI

Change Grow Thrive, LLC

  • Professional Counselor
  • Omaha, NE
National Provider Identifier
1750736633
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1479 Issued in NE
Legal business name
CHANGE GROW THRIVE, LLC
Practice address
11319 P St
Suite 2a
Omaha, NE 68137-6302
Phone
(308) 379-4388
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Emily Pfeifer AnsonNPI 1104830561
Title
Owner
Phone
(308) 379-4388

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1479 NE Primary

Addresses

Primary practice location

11319 P St
Suite 2a
Omaha, NE 68137-6302

Mailing address

11319 P St
Suite 2a
Omaha, NE 68137-6302
Phone (308) 379-4388

National Provider Directory

National Provider Directory

Locations

11319 P St
Ste 2A
Omaha, NE 68137
Phone (308) 379-4388

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": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1750736633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 P ST",
            "address_2": "SUITE 2A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681376302",
            "telephone_number": "308-379-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11319 P ST",
            "address_2": "SUITE 2A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681376302",
            "telephone_number": "308-379-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE GROW THRIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "ANSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "PFEIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-379-4388"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.