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VISIONS FOR CHANGE COUNSELING CENTER, PC
NPI 1336357003
Psychologist - Clinical in Chicago, IL

Active since May 18, 2007
9510 S CONSTANCE AVE, SUITE C6, CHICAGO, IL 60617(773) 510-0104(773) 731-9711 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Visions For Change Counseling Center, Pc NPPES

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

VISIONS FOR CHANGE COUNSELING CENTER, PC (NPI 1336357003) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Richara C. Jennings, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1336357003
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameVISIONS FOR CHANGE COUNSELING CENTER, PC
Location Address9510 S CONSTANCE AVE, SUITE C6Chicago, IL 60617-4700
Mailing Address9510 S Constance Ave, Suite C6Chicago, IL 60617-4700 · (773) 510-0104 · Fax (773) 731-9711
Phone(773) 510-0104
Fax(773) 731-9711
Organization SubpartNo
Authorized OfficialRichara C. JenningsAdministrative Director · (773) 238-1992
Enumeration DateMay 18, 2007
Last NPPES UpdateMarch 13, 2009
✔ NPI 1336357003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071007563
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
9510 S CONSTANCE AVE, Chicago, IL 60617
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EUSTRESS THERAPY AND WELLNESS
Counselor (Professional)
9510 S CONSTANCE AVE, SUITE C-6
CHICAGO, IL 60617
Cook County (872) 221-0041
DR. LASHONDA FULLER PH.D.
Counselor (Professional)
9510 S CONSTANCE AVE, SUITE C-6
CHICAGO, IL 60617
Cook County (872) 221-0041
CARMEN CARTER
Massage Therapist
9510 S CONSTANCE AVE, SUITE C-6
CHICAGO, IL 60617
Cook County (773) 299-8292
DR. MUSTAFA MOYENDA LCPC, CAADC
Counselor (Professional)
9510 S CONSTANCE AVE, C6
CHICAGO, IL 60617
Cook County (872) 221-0041

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 Visions For Change Counseling Center, PC's NPI number?

The NPI number for Visions For Change Counseling Center, PC is 1336357003. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Visions For Change Counseling Center, PC located?

Visions For Change Counseling Center, PC is located at 9510 S Constance Ave Suite C6, Chicago, IL 60617. The listed phone number is (773) 510-0104.

What is Visions For Change Counseling Center, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Visions For Change Counseling Center, PC was last updated on March 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.