Change and Development Institute, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2007036005 Issued in MO

Legal business name

CHANGE AND DEVELOPMENT INSTITUTE, LLC

Practice address

8123 January Ave
Saint Louis, MO 63134-1513

Phone

(314) 680-8179

NPI assigned

Dec 9, 2009

Organization subpart

No

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

Authorized official

Name

James Carroll, LPC

Title

President

Phone

(314) 680-8179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1902135692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 JANUARY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631341513",
            "telephone_number": "314-680-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8123 JANUARY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631341513",
            "telephone_number": "314-680-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE AND DEVELOPMENT INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-680-8179",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MO",
            "license": "2007036005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Joy Chang
• Parker CHI-Sung Chang, MD
• Ryan Juien Chang
• Zanetta Chang, MD, PHD
• Zenan Li Chang, MD
• Change Course, LLC
• Changing Lives Home Care Assistance Inc
• Changing Peoples Reaction Solutions LLC
• Alexa Chanos, MD
• Leigh C Chao, MD

• Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.