NPIMap

Organization Active NPI

Life Change Therapy Now LLC

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1780121392
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19553 Issued in MD
Legal business name
LIFE CHANGE THERAPY NOW LLC
Practice address
21 Byte CT Ste G
Frederick, MD 21702-8724
Phone
(301) 846-7872
Fax
(301) 846-7973
NPI assigned
Jan 21, 2017
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Mrs. Lorena RipollNPI 1144646050
Title
Owner
Phone
(301) 846-7872

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 WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 19553 MD Primary

Addresses

Primary practice location

21 Byte CT Ste G
Frederick, MD 21702-8724

Mailing address

21 Byte CT Ste G
Frederick, MD 21702-8724
Phone (301) 846-7872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220930000074 MD Part B Supplier - Clinic/Group Practice 4284010117 Receives reassigned benefits from 11 practitioners
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

188 Thomas Johnson Dr
Ste 201
Frederick, MD 21702
Phone (301) 639-6062

21 Byte Ct
Ste G
Frederick, MD 21702
Phone (301) 846-7872

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1780121392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BYTE CT STE G",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028724",
            "telephone_number": "301-846-7872",
            "fax_number": "301-846-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BYTE CT STE G",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028724",
            "telephone_number": "301-846-7872",
            "fax_number": "301-846-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGE THERAPY NOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-21",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "RIPOLL",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-846-7872",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.