POSITIVE CHANGE COUNSELING, LLC (NPI# 1841738820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841738820 |
| Entity Type | Organization |
| Organization Name | POSITIVE CHANGE COUNSELING, LLC |
| Other Organization Name | SHANNON M. BURKE, LPCC |
| Practice Address |
1209 Route 66 Moriarty NM 87035 |
| Mailing Address |
21 Dingo Rd Moriarty NM 87035-5498 |
| Practice Telephone | 5052206971 |
| Practice Fax Number | 5058324441 |
| Mailing Telephone | 5052206971 |
| Mailing Fax Number | 5058324441 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | MS. SHANNON MARIE BURKE (OWNER) |
| Authorized Official Telephone | 5052206971 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0156191 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 23372788 | 05 |
| Other Name | Type Code |
|---|---|
| Shannon M. Burke, LPCC | Other Name - Individual/Organization |
| Street Address |
1209 ROUTE 66 |
| City | MORIARTY |
| State | NM |
| Zip Code | 87035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003448432 | Anahi Najera | Behavior Technician | 3 Dana Lane, Moriarty, NM 87035 | 2020-02-04 |
| 1780233106 | Linda Sue Welch | Technician | 3347 E. Martinez Rd., Moriarty, NM 87035 | 2019-09-09 |
| 1992215891 | Susan Rae Early | Registered Nurse | 2422 East Hwy 333, Moriarty, NM 87035 | 2017-10-05 |
| 1558808634 | Take Action LLC | Counselor | 704 Central Avenue West Suite B, Moriarty, NM 87035 | 2017-01-26 |
| 1912364902 | United Remodeling Professionals | Point of Service | 2552 South Highway 41, Moriarty, NM 87035 | 2016-01-21 |
| 1164826467 | Above All Personal Care Services, Inc | Home Health | 2552 S Hwy 41, Moriarty, NM 87035 | 2014-10-15 |
| 1306284682 | City of Moriarty | Ambulance | 201 Broadway Se, Moriarty, NM 87035 | 2013-06-10 |
| 1891033072 | Molly Georgianne Hanford | Speech-Language Pathologist | 200 Center Ave., Moriarty, NM 87035 | 2013-01-23 |
| 1124305230 | Christina Taylor | Counselor | 1208 Route 66, Suite D, Moriarty, NM 87035 | 2011-11-03 |
| 1053692186 | Kristen K Leeson | Social Worker | 200 Center St., Moriarty, NM 87035 | 2011-09-02 |
| Find all providers in zip 87035 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345328 | The People's Counseling and Consulting, LLC | Community/Behavioral Health | 4718 Idlewilde Ln Se, Albuquerque, NM 87108-3424 | 2020-10-28 |
| 1861090342 | Rio Grande Emdr Therapy, LLC | Community/Behavioral Health | 6 Sierra Vista Drive, Cedar Crest, NM 87008 | 2020-10-15 |
| 1306443924 | Recovery Innovations, Inc | Community/Behavioral Health | 1850 Copper Loop Bldg B, Las Cruces, NM 88005-8139 | 2020-10-06 |
| 1689271413 | Thriving Mind LLC | Community/Behavioral Health | 4612 Huyana Dr Nw, Albuquerque, NM 87120-5597 | 2020-10-05 |
| 1922612951 | Connections Counseling LLC | Community/Behavioral Health | 11920 Dahlia Ave Se, Albuquerque, NM 87123-2470 | 2020-09-08 |
| 1538771357 | Ariane Mahmud-ghazi, LLC | Community/Behavioral Health | 1604 Young St, Santa Fe, NM 87505-3504 | 2020-08-21 |
| 1790301026 | Capitan Therapy & Behavioral Health | Community/Behavioral Health | 102 East Smokey Bear Blvd, Capitan, NM 88316 | 2020-06-23 |
| 1396360871 | Integrity Behavior Improvement Services, LLC | Community/Behavioral Health | 1916 Amherst Dr Ne, Albuquerque, NM 87106-1105 | 2020-06-10 |
| 1871116236 | Carsal LLC | Community/Behavioral Health | 6501 4th St Nw Ste E2, Los Ranchos, NM 87107-5800 | 2020-05-20 |
| 1023647096 | Inner Peace Outreach LLC | Community/Behavioral Health | 3107 San Mateo Blvd Ne, Albuquerque, NM 87110-1921 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
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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.