Changing Habits, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3596-125 Issued in WI

Legal business name

CHANGING HABITS, LLC

Practice address

1030 W Hawes Ave
Appleton, WI 54914-2722

Phone

(920) 570-1904

Fax

(877) 673-1148

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James Baer, LPC, NBCCH, NBCC

Title

President

Phone

(920) 570-1904

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1952557894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W HAWES AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549142722",
            "telephone_number": "920-570-1904",
            "fax_number": "877-673-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W HAWES AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549142722",
            "telephone_number": "920-570-1904",
            "fax_number": "877-673-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING HABITS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-570-1904",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NBCCH, NBCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3596-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gunjan Chadha, M.D.
• Katherine Anne Chaganos, LCSW
• Brad E Chambers, PTA
• Debra Champeau
• Sithichok Chang, PHARMD
• Alyson Mary Chapman, PT
• Brian Chapman, DPT, CSCS
• Carrie B. Chapman, M.D.
• Christine Ann Chapman, MS
• Madeleine Chapman, RN

• Community/Behavioral Health Agency in Appleton, WI
• Providers in Appleton, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.