COURAGE TO CHANGE, LLC (NPI# 1821586843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821586843 |
| Entity Type | Organization |
| Organization Name | COURAGE TO CHANGE, LLC |
| Practice Address |
215 Highland Ave Ste C Haddon Township NJ 08108-2634 |
| Practice Telephone | 8568543155 |
| Practice Fax Number | 8568540992 |
| Mailing Telephone | 8568543155 |
| Mailing Fax Number | 8568540992 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Authorized Official Name | CAROL BAKEY (OWNER/SOLE MEMBER) |
| Authorized Official Telephone | 8568543155 |
| Authorized Official Credential | LPC, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00182400 | NJ | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00457200 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
215 HIGHLAND AVE STE C |
| City | HADDON TOWNSHIP |
| State | NJ |
| Zip Code | 08108-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922216787 | James L. Whitaker | Counselor | 215 Highland Ave Ste C, Haddon Township, NJ 08108 | 2007-05-17 |
| 1841815115 | Tara Brophy LLC | Clinic/Center | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2020-06-12 |
| 1003440173 | Carolanne Brennan | Counselor | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2020-02-27 |
| 1639734874 | Free To Be Counseling LLC | Social Worker | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2019-05-02 |
| 1770045874 | Christine L. Batra | Counselor | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2019-04-05 |
| 1982163580 | Christopher Huff | Social Worker | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2019-03-14 |
| 1346705894 | Kevin Elsey | Counselor | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2019-02-08 |
| 1104314863 | Tamek Shareece Watson | Counselor | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2018-04-27 |
| 1427561232 | Kovacs-farkas Counseling LLC | Psychologist | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2017-11-15 |
| 1417460874 | Lisa J. Farkas | Psychologist | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2017-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629569942 | Breathe Life Physical Therapy & Wellness | Physical Therapist | 915 Haddon Ave, Collingswood, NJ 08108 | 2018-05-22 |
| 1144718545 | Genesis Counseling Center, Inc | Counselor | 566 Hadden Ave, Collingswood, NJ 08108 | 2018-05-01 |
| 1417486069 | Village Wrap, Inc | Clinic/Center | 316 Haddon Avenue, Collingsgwood, NJ 08108 | 2017-06-07 |
| 1518493915 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Stokes Ave, Collingswood, NJ 08108 | 2017-05-04 |
| 1932659778 | Virtua Medical Group, Pa | Clinic/Center | 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108 | 2016-10-05 |
| 1467808543 | Kevin M Lenny | Social Worker | 215 Highland Avenue Suite C, Haddon Township, NJ 08108 | 2016-05-09 |
| 1477933083 | Tam Thien Tran | Pharmacist | 7 Mac Arthur Blvd #n0515, Haddon Township, NJ 08108 | 2015-06-09 |
| 1619364536 | United Methodist Homes of New Jersey | Assisted Living Facility | 460 Haddon Avenue, Collingswood, NJ 08108 | 2015-04-17 |
| 1326465808 | Jacqueline Yvonne Thomas | Counselor | 566 Haddon Ave., Genesis Counseling Services, Collingswood, NJ 08108 | 2014-03-24 |
| 1790118941 | Jessica Ann Charlton | Counselor | 900 Haddon Ave Ste 336, Collingswood, NJ 08108 | 2013-08-12 |
| Find all providers in zip 08108 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255737029 | Anne M. Cavaliere LLC | Counselor | 215 Highland Ave, Suite C, Haddon Township, NJ 08108-2634 | 2014-11-06 |
| 1972843092 | Anne M Cavaliere | Counselor | 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 | 2013-02-26 |
| 1851531446 | Sharon Denise Thomas | Counselor | 215 Highland Ave, Suite C, Haddon Township, NJ 08108-2634 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1720689516 | Janice Belarmino | Counselor | 22 5th Ave, Avenel, NJ 07001 | 2020-11-06 |
| 1457951048 | James Peter Gallagher | Counselor | 3005 Vroom Dr, Bridgewater, NJ 08807-7037 | 2020-11-01 |
| 1669072542 | Lauren Marie Didonato | Counselor | 1533 Hillside Dr, Cherry Hill, NJ 08003-3536 | 2020-10-29 |
| 1699375840 | Letitia Schuman | Counselor | 217 N Locust Ave, Marlton, NJ 08053-1787 | 2020-10-27 |
| 1629677703 | Shoshana Yaffa Hochstadter | Counselor | 123 Edgewood Ave, Clifton, NJ 07012-1514 | 2020-10-20 |
| 1992304356 | Virginia Haase | Counselor | 777 Grove Ave, Edison, NJ 08820-2770 | 2020-10-18 |
| 1205434214 | Margaret Sunny Sullivan-fullerton | Counselor | 63 Rockwood Dr, Rockaway, NJ 07866-4152 | 2020-10-12 |
| 1699373860 | William Defilippo | Counselor | 22 Andrea Dr, North Caldwell, NJ 07006-4727 | 2020-10-11 |
| 1093313389 | Gina Kuijlaars | Counselor | 1390 Valley Rd Ste 2c, Stirling, NJ 07980-1346 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | HADDON TOWNSHIP |
| Zip Code | 08108 |
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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.