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CHANGING COURSE COUNSELING, PLC
NPI 1114356649
Social Worker - Clinical in Fort Gratiot, MI

Active since November 05, 2013
3071 COMMERCE DR STE B, FORT GRATIOT, MI 48059(810) 357-9318(810) 479-9684 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2024, Apr 26, 2019 (2 updates tracked since 2019).

About Changing Course Counseling, Plc NPPES

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

CHANGING COURSE COUNSELING, PLC (NPI 1114356649) is a healthcare organization registered as a clinical in Fort Gratiot, Michigan and active in the NPI registry since November 2013. The organization lists Kelle S Wood, Lmsw/owner, as its authorized official.

NPPES Registry Identity

NPI1114356649
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCHANGING COURSE COUNSELING, PLC
Location Address3071 COMMERCE DR STE BFort Gratiot, MI 48059-3869
Mailing Address4131 Fairway DrFort Gratiot, MI 48059-3905 · (810) 357-9318 · Fax (810) 479-9684
Phone(810) 357-9318
Fax(810) 479-9684
Organization SubpartNo
Authorized OfficialKelle S WoodLmsw/owner · (810) 357-9318
Enumeration DateNovember 5, 2013
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1114356649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
3071 COMMERCE DR STE B, Fort Gratiot, MI 48059
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Changing Course Counseling, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20140825000303Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Changing Course Counseling, Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelle Wood, LMSW
Clinical Social Worker
NPI 1164465084
3071 COMMERCE DR STE B
Fort Gratiot, MI 48059
(810) 357-9318
✔ PECOS✔ Accepts MedicareSame address

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

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 Changing Course Counseling, Plc's NPI number?

The NPI number for Changing Course Counseling, Plc is 1114356649. It was assigned to this organization in the NPPES registry on November 5, 2013.

Where is Changing Course Counseling, Plc located?

Changing Course Counseling, Plc is located at 3071 Commerce Dr Ste B, Fort Gratiot, MI 48059. The listed phone number is (810) 357-9318.

What is Changing Course Counseling, Plc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Changing Course Counseling, Plc enrolled in Medicare?

Yes. Changing Course Counseling, Plc is registered in the Medicare PECOS enrollment system.

When is Changing Course Counseling, Plc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Changing Course Counseling, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Changing Course Counseling, Plc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Changing Course Counseling, Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Changing Course Counseling, Plc 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 Changing Course Counseling, Plc was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.