NPIMap

Organization Active NPI

Changeworks Counseling LLC

  • Mental Health Counselor
  • Machesney Park, IL
National Provider Identifier
1790058824
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHANGEWORKS COUNSELING LLC
Practice address
8022 N 2ND St
Ste B
Machesney Park, IL 61115-2420
Phone
(815) 299-1600
NPI assigned
Feb 21, 2012
Last updated
Feb 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Claire BentonNPI 1831422096
Title
Director
Phone
(248) 765-6234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

8022 N 2ND St
Ste B
Machesney Park, IL 61115-2420

Mailing address

8022 N 2ND St
Ste B
Machesney Park, IL 61115-2420
Phone (815) 299-1600

National Provider Directory

National Provider Directory

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": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1790058824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 N 2ND ST",
            "address_2": "STE B",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152420",
            "telephone_number": "815-299-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8022 N 2ND ST",
            "address_2": "STE B",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152420",
            "telephone_number": "815-299-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGEWORKS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-765-6234"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machesney Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.