CHANGE WITHIN REACH INC – NPI #1003207002
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CHANGE WITHIN REACH INC is an AHC clinic located in ENCINO, CA. NPPES has assigned the NPI number 1003207002 to CHANGE WITHIN REACH INC on February 11, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 2 years ago on Apr 26, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHANGE WITHIN REACH INC below.

NPI Profile for
CHANGE WITHIN REACH INC

NPI Number
1003207002
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHANGE WITHIN REACH INC
Primary location
17777 VENTURA BLVD STE 105
ENCINO, CA 91316
Phone: (213) 445-2266 Fax: (213) 908-1233
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANNA GERSHELIS
PRESIDENT
Phone: (213) 445-2266
Updated
Certification Date
Apr 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHANGE WITHIN REACH INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA1285901942
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
CA LCSW28777
106H00000X
- Marriage & Family Therapist
1041C0700X
- Social Worker / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.