Organization Active NPI

Center 4 Change, LLC

Doing business as Center 4 Change

  • Case Management Agency
  • McAlester, OK
National Provider Identifier
1932445616
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CENTER 4 CHANGE, LLC
Doing business as
Center 4 Change
Practice address
111 S Main St
McAlester, OK 74501-5363
Phone
(918) 423-5204
Fax
(918) 423-5255
NPI assigned
Dec 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Mrs. Barbara Countz, LPC
Title
Owner
Phone
(918) 423-5204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

111 S Main St
McAlester, OK 74501-5363

Mailing address

111 S Main St
McAlester, OK 74501-5363

Other names 1

  • Center 4 Change Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center 4 Change3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1932445616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015363",
            "telephone_number": "918-423-5204",
            "fax_number": "918-423-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER 4 CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "COUNTZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-423-5204",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center 4 Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.