Organization Active NPI

Changes Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Mason City, IA
National Provider Identifier
1912553546
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHANGES COUNSELING, LLC
Practice address
1631 4TH St SW Ste 124
Mason City, IA 50401-1612
Phone
(641) 430-5868
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Jameson Mayberry, LMFT, CADC, MAC, SAP
Title
Organizer/Therapist
Phone
(641) 430-5868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1631 4TH St SW Ste 124
Mason City, IA 50401-1612

Mailing address

1508 7TH PL SW
Mason City, IA 50401-4704
Phone (641) 430-5868

National Provider Directory

National Provider Directory

Locations

1631 4th St SW
Ste 124
Mason City, IA 50401
Phone (641) 430-5868

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1912553546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 7TH PL SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014704",
            "telephone_number": "641-430-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 4TH ST SW STE 124",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011612",
            "telephone_number": "641-430-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "JAMESON",
        "authorized_official_title_or_position": "ORGANIZER/THERAPIST",
        "authorized_official_telephone_number": "641-430-5868",
        "authorized_official_credential": "LMFT, CADC, MAC, SAP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

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