Road to Change

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ROAD TO CHANGE

Doing business as

Road to Change

Practice address

8101 Kingston Rd Ste 101B
Shreveport, LA 71108-5745

Phone

(225) 439-1153

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana L. L Converse, LPC

Title

Owner

Phone

(225) 439-1153

Specialties & licenses 1

Addresses

Other names 1

• Road to Change Doing business as

Tax ID family

Road to Change2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Road to Change

  • Professional Counselor
  • Shreveport, LA
  • NPI 1518434182
  NPD tax ID

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.

• Dana Converse, MA, LPC

  • Professional Counselor
  • Shreveport, LA
  • NPI 1871966671
  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1801504279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 TOPLECOT DR STE 101B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711295137",
            "telephone_number": "225-439-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 KINGSTON RD STE 101B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711085745",
            "telephone_number": "225-439-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "CONVERSE",
        "authorized_official_first_name": "DANA L.",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-439-1153",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Road to Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Rivers, NP
• Mildred Rivers
• Terri Lane Rivers, M.C.D. CCC-SLP
• Bailey Rivet
• Road to Change
• Road to Change Residential
• Road2Success LLC
• Road2Success LLC
• Roan Counseling, LLC
• Connor Roan

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.