Organization Active NPI

Beyond Change Dacp

  • Mental Health Counselor
  • Fairfield Township, OH
National Provider Identifier
1851050496
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEYOND CHANGE DACP
Practice address
7092 Merlin Way
Fairfield Township, OH 45011-8025
Phone
(513) 388-7816
NPI assigned
Dec 10, 2021
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Cherisse N Parrish, LISW
Title
Director
Phone
(513) 388-7816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

7092 Merlin Way
Fairfield Township, OH 45011-8025

Mailing address

7092 Merlin Way
Fairfield Township, OH 45011-8025
Phone (513) 388-7816

Other identifiers 1

IdentifierTypeStateIssuer
1659917029MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL parriscn@mail.uc.edu Health Information Exchange (HIE)

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": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1851050496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7092 MERLIN WAY",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450118025",
            "telephone_number": "513-388-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7092 MERLIN WAY",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450118025",
            "telephone_number": "513-388-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND CHANGE DACP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "CHERISSE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-388-7816",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659917029",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "parriscn@mail.uc.edu",
            "affiliation": "N",
            "endpointDescription": "private practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7092 Merlin Way",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.