Active NPI
Emotional Change Inc.
- Clinical Psychologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- EMOTIONAL CHANGE INC.
- Practice address
- 4368 Eagle Rock Blvd
Los Angeles, CA 90041-3211 - Phone
- (314) 974-7347
- Fax
- (314) 843-0201
- NPI assigned
- May 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly George, MFT
- Title
- Ceo
- Phone
- (314) 974-7347
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | |||
| Psychiatry Physician | 2084P0800X | |||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X |
Addresses
Primary practice location
4368 Eagle Rock Blvd
Los Angeles, CA 90041-3211
Mailing address
4368 Eagle Rock Blvd
Los Angeles, CA 90041-3211
Phone (314) 974-7347
Other names 1
- Lascano Professional Services
National Provider Directory
National Provider DirectoryLocations
1615 Vine School Rd
Herculaneum, MO 63048
Phone (314) 394-1935
9962 Lin Ferry Dr
Ste 101
Saint Louis, MO 63123
Phone (314) 843-0043
9962 Lin Ferry Dr
Saint Louis, MO 63123
Phone (314) 974-7347
10000 Watson Rd
Ste 1L3
Saint Louis, MO 63126
Phone (314) 394-1935
1515 N Warson Rd
Ste 1L3
Saint Louis, MO 63132
Phone (314) 394-1935
404 E Booneslick Rd
Apt B
Warrenton, MO 63383
Phone (314) 394-1935
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Saint Louis, MO
- NPI 1548691355
Addiction (Substance Use Disorder)
-
- Professional Counselor
- St. Louis, MO
- NPI 1639423296
-
- Professional Counselor
- Saint Louis, MO
- NPI 1508117680
-
- Professional Counselor
- Saint Louis, MO
- NPI 1134494024
-
- Mental Health Counselor
- Saint Louis, MO
- NPI 1730524505
-
- Professional Counselor
- Saint Charles, MO
- NPI 1003252883
-
- Clinical Social Worker
- Saint Louis, MO
- NPI 1104515014
-
- Professional Counselor
- St.. Louis, MO
- NPI 1285902296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338422400000",
"number": "1861753337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4368 EAGLE ROCK BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413211",
"telephone_number": "314-974-7347",
"fax_number": "314-843-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4368 EAGLE ROCK BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413211",
"telephone_number": "314-974-7347",
"fax_number": "314-843-0201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMOTIONAL CHANGE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-31",
"last_updated": "2012-05-31",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-974-7347",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lascano Professional Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.