NPIMap

Organization Active NPI

Changing Lives and Staying Sober

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1871018788
Registry record updated May 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SA0822584 Issued in MI
Legal business name
CHANGING LIVES AND STAYING SOBER
Doing business as
C.L.A.S.S.
Practice address
17405 Lahser Rd
Detroit, MI 48219-2334
Phone
(313) 412-2160
NPI assigned
Aug 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2023

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

Authorized official

Name
Dr. Karla Mitchell, NDNPI 1356763874
Title
Operations Manager
Phone
(313) 784-0202

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X
Community/Behavioral Health Agency 251S00000X SA0822584 MI Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Recovery Care Clinic/Center 261QR0800X

Addresses

Primary practice location

17405 Lahser Rd
Detroit, MI 48219-2334

Mailing address

17405 Lahser Rd
Detroit, MI 48219-2334
Phone (313) 412-2160

Other names 1

  • C.L.A.S.S. Doing business as

National Provider Directory

National Provider Directory

Locations

17405 Lahser Rd
Detroit, MI 48219
Phone (313) 412-2160

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684627200000",
    "number": "1871018788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17405 LAHSER RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192334",
            "telephone_number": "313-412-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17405 LAHSER RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192334",
            "telephone_number": "313-412-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES AND STAYING SOBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "313-784-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "SA0822584",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.L.A.S.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; 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.