NPIMap

Organization Active NPI

Leaves of Change Counseling LLC

  • Mental Health Counselor
  • Northampton, MA
National Provider Identifier
1912568486
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LEAVES OF CHANGE COUNSELING LLC
Practice address
16 Center St Ste 517
Northampton, MA 01060-3589
Phone
(413) 636-3829
NPI assigned
Jun 25, 2019
Organization subpart
Yes
Parent organization
LEAVES OF CHANGE COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Dr. Stephanie Jordan, LMHCNPI 1942869318
Title
Owner
Phone
(413) 636-3829

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

16 Center St Ste 517
Northampton, MA 01060-3589

Mailing address

16 Center St Ste 517
Northampton, MA 01060-3589
Phone (413) 636-3829

Other practice location 1

46 Main Rd Ste 8
Montgomery, MA 01085-9522
Phone (413) 636-3829

National Provider Directory

National Provider Directory
Part of
Leaves of Change Counseling LLC

Locations

46 Main Rd
Ste 8
Montgomery, MA 01085
Phone (413) 636-3829

16 Center St
Ste 517
Northampton, MA 01060
Phone (413) 624-4315

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1912568486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CENTER ST STE 517",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603589",
            "telephone_number": "413-636-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CENTER ST STE 517",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603589",
            "telephone_number": "413-636-3829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Main Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "MA",
            "postal_code": "010859522",
            "country_code": "US",
            "telephone_number": "413-636-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEAVES OF CHANGE COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEAVES OF CHANGE COUNSELING LLC",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-636-3829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.