Active NPI
Changha Martin Lee, M.A., LPC
- Counselor
- Dallas, TX
National Provider Identifier
1972961019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 70302
- Practice address
- 3330 S Lancaster Rd
Dallas, TX 75216-4531 - Phone
- (214) 743-1200
- NPI assigned
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 70302 | TX | Primary |
Addresses
Primary practice location
3330 S Lancaster Rd
Dallas, TX 75216-4531
Mailing address
1352 Saddleback LN
Lewisville, TX 75067-5520
Phone (817) 793-8278
Other practice location 1
1345 River Bend Dr
Dallas, TX 75247-6943
Phone (214) 743-6146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70302 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1972961019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1352 SADDLEBACK LN",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750675520",
"telephone_number": "817-793-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752164531",
"telephone_number": "214-743-1200"
}
],
"practiceLocations": [
{
"address_1": "1345 River Bend Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752476943",
"country_code": "US",
"telephone_number": "214-743-6146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "CHANGHA",
"middle_name": "MARTIN",
"credential": "M.A., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-03",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "70302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.