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CHANGE THERAPEUTIC SERVICES, INC.
NPI 1134718042
Social Worker - Clinical in Victorville, CA

Active since January 14, 2021
15447 ANACAPA RD STE D102, VICTORVILLE, CA 92392(090) 965-4079(800) 915-8151 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Change Therapeutic Services, Inc. NPPES

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

CHANGE THERAPEUTIC SERVICES, INC. (NPI 1134718042) is a healthcare organization registered as a clinical in Victorville, California and active in the NPI registry since January 2021. The organization lists Shareela Marie Allen, Owner, as its authorized official.

NPPES Registry Identity

NPI1134718042
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCHANGE THERAPEUTIC SERVICES, INC.
Location Address15447 ANACAPA RD STE D102Victorville, CA 92392-2481
Mailing Address15447 Anacapa Rd Ste D102Victorville, CA 92392-2481 · (909) 654-0798 · Fax (800) 915-8151
Phone(090) 965-4079
Fax(800) 915-8151
Organization SubpartNo
Authorized OfficialShareela Marie AllenOwner · (909) 654-0798
Enumeration DateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
✔ NPI 1134718042 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 ListedMarriage & Family TherapistTaxonomy 106H00000X
15447 ANACAPA RD STE D102, Victorville, CA 92392
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Change Therapeutic Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Change Therapeutic Services, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Natasha Thomas
Marriage and Family Therapist
NPI 1649523663
15447 ANACAPA RD
Victorville, CA 92392
(909) 654-0798
✔ PECOS✔ Accepts MedicareSame address
Shareela Allen
Clinical Social Worker
NPI 1578793337
6791 N. OFEILA DRIVE
San Bernardino, CA 92407
(909) 900-6746
✔ PECOS✔ Accepts Medicare21 mi
Vanessa Williams
Nurse Practitioner
NPI 1013799170
8273 WHITE OAK AVE STE B
Rancho Cucamonga, CA 91730
(909) 686-0783
✔ PECOS✔ Accepts Medicare31 mi
David Cao
Nurse Practitioner
NPI 1376360149
12582 JOSEPHINE ST APT C
Garden Grove, CA 92841
(714) 661-4326
✔ PECOS✔ Accepts Medicare63 mi

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 Change Therapeutic Services, Inc.'s NPI number?

The NPI number for Change Therapeutic Services, Inc. is 1134718042. It was assigned to this organization in the NPPES registry on January 14, 2021.

Where is Change Therapeutic Services, Inc. located?

Change Therapeutic Services, Inc. is located at 15447 Anacapa Rd Ste D102, Victorville, CA 92392. The listed phone number is (090) 965-4079.

What is Change Therapeutic Services, Inc.'s specialty?

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

Is Change Therapeutic Services, Inc. enrolled in Medicare?

Yes. Change Therapeutic Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Change Therapeutic Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Change Therapeutic Services, Inc., in Clinical Social Worker, Marriage and Family Therapist and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Change Therapeutic Services, Inc. was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.