NPIMap

Organization Active NPI

Achieving Changes Counseling Services, PLLC

  • Clinical Social Worker
  • Clemmons, NC
National Provider Identifier
1871008672
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ACHIEVING CHANGES COUNSELING SERVICES, PLLC
Practice address
2554 Lewisville Clemmons Rd Ste 112
Clemmons, NC 27012-9927
Phone
(980) 226-0414
Fax
(336) 776-0091
NPI assigned
Dec 4, 2017
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Melissa Ann Johnson, LCSW, LCASNPI 1215113162
Title
Owner/Provider
Phone
(336) 283-2510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2554 Lewisville Clemmons Rd Ste 112
Clemmons, NC 27012-9927

Mailing address

PO Box 1417
Clemmons, NC 27012-1417
Phone (336) 283-2510

Other identifiers 1

IdentifierTypeStateIssuer
1871008672MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180612000221 NC Part B Supplier - Clinic/Group Practice 6002161296 Receives reassigned benefits from 5 practitioners
Practice locations: Clemmons, NC

National Provider Directory

National Provider Directory

Locations

3540 Clemmons Rd
Ste 20
Clemmons, NC 27012
Phone (336) 283-2510

3540 Clemmons Rd
Ste 60
Clemmons, NC 27012

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1871008672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1417",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270121417",
            "telephone_number": "336-283-2510",
            "fax_number": "336-776-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD STE 112",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129927",
            "telephone_number": "980-226-0414",
            "fax_number": "336-776-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVING CHANGES COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "336-283-2510",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871008672",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.