Organization Active NPI

Changing Lives LLC

  • Professional Counselor
  • Rockville, MD
National Provider Identifier
1831949791
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHANGING LIVES LLC
Practice address
15955 Frederick Rd Apt 2142
Rockville, MD 20855-2305
Phone
(202) 336-9626
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Ms. Kristen M Sutton, LPC
Title
Therapist
Phone
(202) 336-9626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

15955 Frederick Rd Apt 2142
Rockville, MD 20855-2305

Mailing address

15955 Frederick Rd Apt 2142
Rockville, MD 20855-2305
Phone (202) 336-9626

Other practice location 1

1302 44th Pl SE
Washington, DC 20019-5711
Phone (202) 339-1452

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1831949791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 FREDERICK RD APT 2142",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552305",
            "telephone_number": "202-336-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 FREDERICK RD APT 2142",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552305",
            "telephone_number": "202-336-9626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 44th Pl SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200195711",
            "country_code": "US",
            "telephone_number": "202-339-1452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHANGING LIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "202-336-9626",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.