CHANGES BEHAVIORAL HEALTH, LLC
NPI 1114260486
Community/Behavioral Health in Wynne, AR

Active since April 04, 2013
204 MISSISSIPPI ST S, WYNNE, AR 72396(870) 208-8499 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Changes Behavioral Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGES BEHAVIORAL HEALTH, LLC (NPI 1114260486) is a healthcare organization registered as a community/behavioral health in Wynne, Arkansas and active in the NPI registry since April 2013. The organization maintains a secondary practice location in Marion and lists Brian Dickson Shaw, Therapist, as its authorized official.

NPPES Registry Identity

NPI1114260486
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCHANGES BEHAVIORAL HEALTH, LLC
Location Address204 MISSISSIPPI ST SWynne, AR 72396-3025
Mailing Address204 Mississippi St SWynne, AR 72396-3025 · (870) 208-8499
Organization SubpartNo
Authorized OfficialBrian Dickson ShawTherapist · (901) 570-0556
Enumeration DateApril 4, 2013
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1114260486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in AR · 5606C
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
204 MISSISSIPPI ST S, Wynne, AR 72396

Secondary Practice Location 1

Location 1750 Medel Marconi RdMarion, AR 72364 · Phone (870) 208-8499 · Fax (870) 208-8044

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Changes Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Changes Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor13
Clinical Social Worker8
Nurse Practitioner3
Geriatric Psychiatry1
Psychiatry1

Nearest to this location (20)

See all 26
Mental Health Counselor
NPI 1932776978
204 MISSISSIPPI ST S
Wynne, AR 72396
(870) 208-8499
✔ PECOSSame address
Mental Health Counselor
NPI 1184468472
204 MISSISSIPPI ST S
Wynne, AR 72396
(870) 208-8499
✔ PECOSSame address
Clinical Social Worker
NPI 1679046098
204 MISSISSIPPI ST S
Wynne, AR 72396
(870) 208-8499
✔ PECOSSame address
Mental Health Counselor
NPI 1396998605
204 MISSISSIPPI ST S
Wynne, AR 72396
(870) 208-8499
✔ PECOSSame address
Clinical Social Worker
NPI 1144965021
204 MISSISSIPPI ST S
Wynne, AR 72396
(870) 208-8499
✔ PECOSSame address
Clinical Social Worker
NPI 1396949517
204 MISSISSIPPI ST S
Wynne, AR 72396
(870) 208-8499
✔ PECOSSame address
Mental Health Counselor
NPI 1497095954
204 MISSISSIPPI ST S
Wynne, AR 72396
(870) 208-8499
✔ PECOSSame address
Clinical Social Worker
NPI 1679894737
204 MISSISSIPPI ST S
Wynne, AR 72396
(870) 208-8499
✔ PECOSSame address
Mental Health Counselor
NPI 1265980593
206 LEVESQUE AVE E
Wynne, AR 72396
(870) 351-0312
✔ PECOS0.3 mi
Mental Health Counselor
NPI 1477763126
1200 BRIDGES AVE E
Wynne, AR 72396
(501) 737-4320
✔ PECOS✔ Accepts Medicare0.8 mi
Clinical Social Worker
NPI 1629249131
134 COUNTY ROAD 665
Wynne, AR 72396
(870) 238-5681
✔ PECOS5.1 mi
Nurse Practitioner
NPI 1619460813
904 HOLIDAY DR STE 404
Forrest City, AR 72335
(870) 633-0215
✔ PECOS13 mi
Nurse Practitioner
NPI 1659823094
1601 NEW CASTLE RD
Forrest City, AR 72335
(870) 261-0432
✔ PECOS13 mi
Mental Health Counselor
NPI 1669802823
1501 DAWSON RD
Forrest City, AR 72335
(870) 630-2328
✔ PECOS14 mi
Mental Health Counselor
NPI 1962157487
1103 N ILLINOIS ST STE B
Harrisburg, AR 72432
(870) 931-8412
✔ PECOS25 mi
Mental Health Counselor
NPI 1922601178
2331 HIGHWAY 1 N
Marianna, AR 72360
(870) 768-5676
✔ PECOS31 mi
Clinical Social Worker
NPI 1770953366
2707 BROWNS LN
Jonesboro, AR 72401
(870) 972-4939
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1861911091
2200 E MATTHEWS AVE
Jonesboro, AR 72401
(870) 972-1268
✔ PECOS43 mi
Geriatric Psychiatry
NPI 1225242043
1815 PLEASANT GROVE RD
Jonesboro, AR 72405
(870) 933-6886
✔ PECOS✔ Accepts Medicare45 mi
Psychiatry
NPI 1679716013
1661 INTERNATIONAL DR STE 400
Memphis, TN 38120
(901) 720-5101
✔ PECOS54 mi
See all 26 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2269763

Changes Behavioral Health LLC · Wynne, AR
Expired · Oct 2, 2026
CLIA Number04D2269763
Laboratory TypeBehavioral Health
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorBrian Shaw
Laboratory Phone(901) 570-0556
Laboratory LocationChanges Behavioral Health LLC204 Mississippi St, Wynne, AR 72396
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Changes Behavioral Health, LLC's NPI number?

The NPI number for Changes Behavioral Health, LLC is 1114260486. It was assigned to this organization in the NPPES registry on April 4, 2013.

Where is Changes Behavioral Health, LLC located?

Changes Behavioral Health, LLC is located at 204 Mississippi St S, Wynne, AR 72396. The listed phone number is (870) 208-8499.

What is Changes Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Changes Behavioral Health, LLC enrolled in Medicare?

Yes. Changes Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Changes Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 5 Medicare specialties reassign their Medicare billing to Changes Behavioral Health, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (13), Clinical Social Worker (8) and Nurse Practitioner (3). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Changes Behavioral Health, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Changes Behavioral Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Changes Behavioral Health, LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.