Changing Tides Consulting, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65866 Issued in TX

Legal business name

CHANGING TIDES CONSULTING, LLC

Practice address

11999 Katy Fwy
Suite 530
Houston, TX 77079-1611

Phone

(832) 303-9419

Fax

(866) 294-9471

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Whalen, LPC

Title

Owner

Phone

(832) 303-9419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1972975514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 KATY FWY",
            "address_2": "SUITE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791611",
            "telephone_number": "832-303-9419",
            "fax_number": "866-294-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 KATY FWY",
            "address_2": "SUITE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791611",
            "telephone_number": "832-303-9419",
            "fax_number": "866-294-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING TIDES CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-303-9419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Change Institute Recovery Center
• Change Needs Change Limited Liability Company
• Change Path One, LLC (Change Path One Health & Wellness)
• Changing My Ways Incoroporated
• Changing My Ways Incorporated
• Katia Chanin, M.D,
• Kara Chanko
• Channel View Urgent Care Center PLLC
• Channels EMS Inc
• Channelview Medical Center

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.