CHANGEPOINT INTEGRATED HEALTH (NPI# 1205877610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205877610 |
| Entity Type | Organization |
| Organization Name | CHANGEPOINT INTEGRATED HEALTH |
| Other Organization Name | COMMUNITY COUNSELING CENTERS, INC |
| Practice Address |
103 N 1st Ave Holbrook AZ 86025-2817 |
| Mailing Address |
1801 W Deuce of Clubs Ste 100 Show Low AZ 85901-2704 |
| Practice Telephone | 9285372951 |
| Practice Fax Number | 9288925828 |
| Mailing Telephone | 9285372951 |
| Mailing Fax Number | 9288925828 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | MR. JEFFREY OAKES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9285372951 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OTC6041 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 003450 | 01 |
| Other Name | Type Code |
|---|---|
| Community Counseling Centers, Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212508 | Changepoint Integrated Health | Clinic/Center | 1500 S White Mountain Rd Bldg 3, Show Low, AZ 85901-7111 | 2019-12-11 |
| 1841836285 | Changepoint Integrated Health | Community/Behavioral Health | 1920 West Commerce Dr, Lakeside, AZ 85929 | 2019-11-20 |
| 1568821346 | Changepoint Integrated Health | Psychiatric Residential Treatment Facility | 447 S Woodland Ln, Pinetop, AZ 85935-7139 | 2016-02-22 |
| 1467783118 | Changepoint Integrated Health | Special Hospital | 1920 Commerce Drive, Lakeside, AZ 85929-7004 | 2010-01-20 |
| 1750525978 | Changepoint Integrated Health | Clinic/Center | 1015 E. Second St., Winslow, AZ 86047 | 2009-05-01 |
| 1952891970 | Changepoint Integrated Health | Clinic/Center | 537 S Main St, Snowflake, AZ 85937-5279 | 2018-05-15 |
| 1518202100 | Changepoint Integrated Health | Community/Behavioral Health | 1801 W Deuce of Clubs, Suite 100, Show Low, AZ 85901-2705 | 2012-12-07 |
| 1184975500 | Changepoint Integrated Health | Clinic/Center | 423 S Main St, Snowflake, AZ 85937-5247 | 2012-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHANGEPOINT INTEGRATED HEALTH | 1801 W Deuce of Clubs #100, Show Low, AZ 85901-2704 |
| Street Address |
103 N 1ST AVE |
| City | HOLBROOK |
| State | AZ |
| Zip Code | 86025-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104283654 | Gretchen Elizabeth Herndon | Counselor | 103 N 1st Ave, Holbrook, AZ 86025-2901 | 2016-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548505357 | Holbrook Senior Citizens Association | Assisted Living Facility | 216 Joy Nevin Avenue, Holbrook, AZ 86025 | 2012-12-05 |
| 1053660795 | Rainbow Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2425 Navajo Boulevard, Holbrook, AZ 86025 | 2012-09-07 |
| 1467695296 | Community Bridges, Inc | Clinic/Center | 995 Hermosa Drive, Holbrook, AZ 86025 | 2009-04-09 |
| 1932381738 | Valerie Ann Roanhorse | Speech-Language Pathologist | 294 West Carlos, Holbrook, AZ 86025 | 2007-12-04 |
| 1336224195 | Clarence H Hansen | Dentist | 407 E Iowa, Holbrook, AZ 86025 | 2006-10-27 |
| 1538266895 | Janelle Marie Golden | Speech-Language Pathologist | 294 W. Carlos, Special Services Consortium, Holbrook, AZ 86025 | 2006-09-20 |
| 1306960422 | North Country Healthcare, Inc. | Clinic/Center | 2109 Navajo Blvd, Holbrook, AZ 86025 | 2007-03-16 |
| 1881760155 | Jason D Lyman | Dentist | 407 E Iowa, Holbrook, AZ 86025 | 2006-11-28 |
| 1932294543 | Christina Lynn Say | Physical Therapist | 294 W. Carlos, Holbrook, AZ 86025 | 2006-10-03 |
| 1306937297 | Rainbow Accommodation School | Local Education Agency (LEA) | 294 W. Carlos, Holbrook, AZ 86025 | 2006-09-27 |
| Find all providers in zip 86025 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1811507379 | Aptitude Mental Health Pllc | Clinic/Center | 5025 S Ash Ave Ste 12, Tempe, AZ 85282-6885 | 2020-08-08 |
| 1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.