Positive Change Recovery Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POSITIVE CHANGE RECOVERY SERVICES, LLC

Practice address

310 Morton St
Jackson, OH 45640-1028

Phone

(740) 645-2019

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Lori EllisNPI 1528513355

Title

Administrator

Phone

(740) 645-7549

Specialties & licenses 2

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Ellis

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, OH
  • NPI 1528513355
  NPD (past) Authorized official
• Sarah M Pace, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Warren, OH
  • NPI 1619516689
  NPD
• Cody Allen Greenberg

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, OH
  • NPI 1851246979
  NPD (past)
• Payton Jade, Entler Israel

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, OH
  • NPI 1518894542
  NPD (past)

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1770321499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MORTON ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MORTON ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401028",
            "telephone_number": "740-645-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGE RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-645-7549"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Pickell
• Bobby Lee Pierce, CMA
• Anthony J. Polcyn, PT
• Carolyn Popp, CDCA
• Paula Anne Porter
• Tricia Michelle Potts
• Practice of Optometry Inc.
• Amber Nichole Pratt, MA, CCC-SLP
• Dora G Pratt, R.N.
• Queen Treatment Centers Inc

• Community/Behavioral Health Agency in Jackson, OH
• Providers in Jackson, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.