Modern Change PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MODERN CHANGE PLLC

Practice address

5720 Fayetteville Rd Ste 202
Durham, NC 27713-5333

Phone

(919) 576-0084

Fax

(919) 797-9922

NPI assigned

Mar 16, 2020

Organization subpart

No

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

Authorized official

Name

Monique Porter, LCMHC, LCASNPI 1295187763

Title

Owner

Phone

(919) 576-0084

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 7

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

• Monique Porter, LCMHC, LCAS

  • Mental Health Counselor
  • Durham, NC
  • NPI 1295187763
  NPD Authorized official
• Danielle Almodovar, LCMHC

  • Mental Health Counselor
  • Durham, NC
  • NPI 1306417555
  NPD
• Anna Thompson Cecere

  • Mental Health Counselor
  • Durham, NC
  • NPI 1508620071
  NPD
• Geoffrey James Birch, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1396343729
  NPD (past)
• Jenny Daniel, LCMHC

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801012521
  NPD (past)
• Padma Doobay, MSW, LCSW-A

  • Clinical Social Worker
  • Durham, NC
  • NPI 1497326227
  NPD (past)
• Alexa Adamo Valverde, MA, MS, LPC, LCMHCA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1376103648
  NPD (past)

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1790311207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 FAYETTEVILLE RD STE 202",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135333",
            "telephone_number": "919-576-0084",
            "fax_number": "919-797-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 FAYETTEVILLE RD STE 202",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135333",
            "telephone_number": "919-576-0084",
            "fax_number": "919-797-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CHANGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-576-0084",
        "authorized_official_credential": "LCMHC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295187763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobile-Med Work Health Solutions, Inc. (Work Health Solutions)
• Mobilizing African American Mothers Through Empowerment (MAAME, Inc.)
• Kirk Dillon Mochrie
• Michele Diane Mock, PA-C
• Kendra Joy Modell Parrish, DO
• Modern Mama Lactation Consulting
• Modern Social Solutions PLLC
• Hemal R Modi, RPH
• David Michael Modlin Jr., D.D.S.
• Rekha Natwar Mody, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.