NPIMap

Organization Active NPI

Inspiring Change PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1982251104
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INSPIRING CHANGE PLLC
Practice address
1830 Owen Dr Ste 103
Fayetteville, NC 28304-3412
Phone
(910) 273-1393
Fax
(910) 764-6756
NPI assigned
Aug 22, 2019
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Juanita Harding, LCSW,LCAS
Title
Co-Owner
Phone
(910) 273-1393

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1830 Owen Dr Ste 103
Fayetteville, NC 28304-3412

Mailing address

1930 Tar Heel Rd
Lumberton, NC 28358-8752
Phone (910) 273-1393

Other practice location 1

1930 Tar Heel Rd
Lumberton, NC 28358-8752
Phone (910) 273-1393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210621002880 NC Part B Supplier - Clinic/Group Practice 0244630713 Receives reassigned benefits from 6 practitioners
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

111 Lamon St
Ste 113
Fayetteville, NC 28301

951 S McPherson Church Rd
Fayetteville, NC 28303
Phone (910) 286-4784

951 S McPherson Church Rd
Ste 105
Fayetteville, NC 28303
Phone (910) 273-1393

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1982251104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 TAR HEEL RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283588752",
            "telephone_number": "910-273-1393",
            "fax_number": "910-764-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 OWEN DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043412",
            "telephone_number": "910-273-1393",
            "fax_number": "910-764-6756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Tar Heel Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283588752",
            "country_code": "US",
            "telephone_number": "910-273-1393",
            "fax_number": "910-764-6756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRING CHANGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-273-1393",
        "authorized_official_credential": "LCSW,LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.