Active NPI
Changing Directions Counseling & Consulting, LLC
- Clinical Social Worker
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11031
- Legal business name
- CHANGING DIRECTIONS COUNSELING & CONSULTING, LLC
- Practice address
- 5920 Coliseum Blvd
Alexandria, LA 71303-3714 - Phone
- (318) 443-9339
- NPI assigned
- May 2, 2017
- 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
- Mrs. Traci D Miller-Earl, LCSW-BACS
- Title
- Owner
- Phone
- (936) 715-8293
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11031 | LA | Primary |
Addresses
Primary practice location
5920 Coliseum Blvd
Alexandria, LA 71303-3714
Mailing address
PO Box 2004
5019 Shreveport Hwy
Tioga, LA 71477-9998
Phone (936) 715-8293
Other practice location 1
5615 Jackson St Ste A
Alexandria, LA 71303-2326
Phone (318) 269-6675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4501 Jackson St
Ste C267
Alexandria, LA 71303
Phone (318) 269-6675
5615 Jackson St
#A
Alexandria, LA 71303
Phone (318) 269-6675
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Alexandria, LA
- NPI 1558602698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581206400000",
"number": "1881120459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2004",
"address_2": "5019 SHREVEPORT HWY",
"city": "TIOGA",
"state": "LA",
"postal_code": "714779998",
"telephone_number": "936-715-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 COLISEUM BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033714",
"telephone_number": "318-443-9339"
}
],
"practiceLocations": [
{
"address_1": "5615 Jackson St Ste A",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713032326",
"country_code": "US",
"telephone_number": "318-269-6675",
"fax_number": "318-708-1013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHANGING DIRECTIONS COUNSELING & CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-02",
"last_updated": "2020-02-09",
"certification_date": "2020-02-09",
"status": "A",
"authorized_official_last_name": "MILLER-EARL",
"authorized_official_first_name": "TRACI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-715-8293",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW-BACS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "11031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.