CANVAS OF CHANGE, LLC
NPI 1598643801
Counselor - Professional in Wichita, KS

Active since August 25, 2025
555 N WOODLAWN ST STE 120, WICHITA, KS 67208(316) 201-6294 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Canvas Of Change, Llc NPPES

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

CANVAS OF CHANGE, LLC (NPI 1598643801), doing business as Carie Cagle, is a healthcare organization registered as a professional in Wichita, Kansas and active in the NPI registry since August 2025. The organization lists Lydia Tilton, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1598643801
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCANVAS OF CHANGE, LLC
Location Address555 N WOODLAWN ST STE 120Wichita, KS 67208-3678
Mailing Address555 N Woodlawn St Ste 120Wichita, KS 67208-3678
Organization SubpartNo
Authorized OfficialLydia TiltonCredentialing · (316) 691-2966
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1598643801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
555 N WOODLAWN ST STE 120, Wichita, KS 67208

Other Names 1

Doing Business AsCarie Cagle

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 3

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

Pharmacy (Long Term Care Pharmacy)
555 N WOODLAWN ST STE 120
WICHITA, KS 67208
Social Worker (Clinical)
555 N WOODLAWN ST STE 120
WICHITA, KS 67208
Nurse Practitioner (Psychiatric/Mental Health)
555 N WOODLAWN ST STE 120
WICHITA, KS 67208

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 Canvas Of Change, LLC's NPI number?

The NPI number for Canvas Of Change, LLC is 1598643801. It was assigned to this organization in the NPPES registry on August 25, 2025. The provider is doing business as Carie Cagle.

Where is Canvas Of Change, LLC located?

Canvas Of Change, LLC is located at 555 N Woodlawn St Ste 120, Wichita, KS 67208. The listed phone number is (316) 201-6294.

What is Canvas Of Change, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Canvas Of Change, LLC was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.