Organization Active NPI

Acquiring Change Counseling PLLC

  • Clinical Social Worker
  • Mount Olive, NC
National Provider Identifier
1962234393
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ACQUIRING CHANGE COUNSELING PLLC
Practice address
103 W John Street
Ste 103
Mount Olive, NC 28365
Phone
(919) 252-3511
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Dawn Foss Knowles, LCSWNPI 1811337074
Title
Owner/Therapist
Phone
(919) 252-3511

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

103 W John Street
Ste 103
Mount Olive, NC 28365

Mailing address

123 Maysville School Rd
Mount Olive, NC 28365-6541
Phone (919) 252-3511

Other practice location 1

123 Maysville School Rd
Mount Olive, NC 28365-6541
Phone (919) 252-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250630004388 NC Part B Supplier - Clinic/Group Practice 3072026384 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Olive, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1962234393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAYSVILLE SCHOOL RD",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283656541",
            "telephone_number": "919-252-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W JOHN STREET",
            "address_2": "STE 103",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "28365",
            "telephone_number": "919-252-3511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Maysville School Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Olive",
            "state": "NC",
            "postal_code": "283656541",
            "country_code": "US",
            "telephone_number": "919-252-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACQUIRING CHANGE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "FOSS",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "919-252-3511",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Olive, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.