Active NPI
I Choose Change PLLC
- Mental Health Counselor
- Allen, TX
National Provider Identifier
1760620728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19003
- Legal business name
- I CHOOSE CHANGE PLLC
- Practice address
- 1506 N Greenville Ave Ste 250
Allen, TX 75002-8692 - Phone
- (214) 547-1318
- Fax
- (214) 550-2679
- NPI assigned
- Jan 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer M Ryan, M.ED., LPC
- Title
- Managing Director
- Phone
- (214) 547-1318
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19003 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 62011 | TX | |
| Mental Health Counselor | 101YM0800X | 62930 | TX |
Addresses
Primary practice location
1506 N Greenville Ave Ste 250
Allen, TX 75002-8692
Mailing address
1506 N Greenville Ave Ste 250
Allen, TX 75002-8692
Phone (214) 547-1318
Other names 1
- I Choose Change PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233187200000",
"number": "1760620728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 N GREENVILLE AVE STE 250",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028692",
"telephone_number": "214-547-1318",
"fax_number": "214-550-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 N GREENVILLE AVE STE 250",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028692",
"telephone_number": "214-547-1318",
"fax_number": "214-550-2679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I CHOOSE CHANGE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "214-547-1318",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.ED., LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "19003",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "62011",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "62930",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "I Choose Change PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.