Change Your Reality

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGE YOUR REALITY

Practice address

729 True St Apt 3
Columbia, SC 29209-1659

Phone

(803) 530-0510

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Richard Alan Wade, THERAPIST

Title

Ceo

Phone

(803) 530-0510

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1881152817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 TRUE ST APT 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091659",
            "telephone_number": "803-530-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 TRUE ST APT 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091659",
            "telephone_number": "803-530-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE YOUR REALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-530-0510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "THERAPIST"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Chandler
• Theresa P Chandler, FNP
• Tiana Latrell Chandler
• Nikhitha Chandrashekar
• Celena M. Chaney, RBT
• Ruth Chao
• Shelly Chaplin
• Ashley L Chapman, NP
• Buffy R Chapman, LPC
• Carly Chapman, DPM

• Community/Behavioral Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.