Positive Change Psychiatry & Therapy Solutions LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

POSITIVE CHANGE PSYCHIATRY & THERAPY SOLUTIONS LLC

Practice address

325 21St St NW Ste a
Waverly, IA 50677-2043

Phone

(319) 961-0696

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Lacie Michelle Theis, PMHNPNPI 1871105916

Title

NP/Owner

Phone

(319) 961-0696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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

• Lacie Michelle Theis, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waverly, IA
  • NPI 1871105916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1821969809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 21ST ST NW STE A",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772043",
            "telephone_number": "319-961-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 21ST ST NW STE A",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772043",
            "telephone_number": "319-961-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGE PSYCHIATRY & THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "LACIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "319-961-0696",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Petersen
• Alan Lee Phillips, D.D.S.
• Monte T Phillips, LISW
• Adena Kay Pigman Baker
• Matthew J Pollastrini, OD
• Brianna D Potter, LMHC
• Premise Health of Iowa Medical PC
• Kaci Lynn Prihoda, SLP
• Heidi L. Prose, A.R.N.P.
• Samantha Lucille Radel, ATC, LAT

• Psychiatric/Mental Health Nurse Practitioner in Waverly, IA
• Providers in Waverly, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.