Avenues to Change

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

62863 Issued in TX

Legal business name

AVENUES TO CHANGE

Practice address

915 Lake Hollow Dr
Little Elm, TX 75068-8409

Phone

(469) 693-0305

Fax

(972) 292-7808

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Stephanie Ann McCormick, LPC, NCCNPI 1073749586

Title

LPC, NCC

Phone

(469) 693-0305

Specialties & licenses 2

Addresses

Practitioners 2

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

• Stephanie Ann McCormick, MA, LPCS

  • Mental Health Counselor
  • Little Elm, TX
  • NPI 1073749586
  NPD (past) Authorized official
• Shivangi R Patel, M.ED

  • Counselor
  • Plano, TX
  • NPI 1518243906
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1912239583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 LAKE HOLLOW DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750688409",
            "telephone_number": "469-693-0305",
            "fax_number": "972-292-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 LAKE HOLLOW DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750688409",
            "telephone_number": "469-693-0305",
            "fax_number": "972-292-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES TO CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LPC, NCC",
        "authorized_official_telephone_number": "469-693-0305",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62863",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "62863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.