IMAGINE CHANGE COUNSELING AND PSYCHOTHERAPY, PLLC
NPI 1649945023
Social Worker - Clinical in Phoenix, AZ

Active since August 09, 2021
1822 E BLUEFIELD AVE, PHOENIX, AZ 85022(424) 298-0560 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Imagine Change Counseling And Psychotherapy, Pllc NPPES

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

IMAGINE CHANGE COUNSELING AND PSYCHOTHERAPY, PLLC (NPI 1649945023) is a healthcare organization registered as a clinical in Phoenix, Arizona and active in the NPI registry since August 2021. The organization lists Shannon Jacobson, Owner, as its authorized official.

NPPES Registry Identity

NPI1649945023
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameIMAGINE CHANGE COUNSELING AND PSYCHOTHERAPY, PLLC
Location Address1822 E BLUEFIELD AVEPhoenix, AZ 85022-1324
Mailing Address1822 E Bluefield AvePhoenix, AZ 85022-1324 · (424) 298-0560
Organization SubpartNo
Authorized OfficialShannon JacobsonOwner · (424) 298-0560
Enumeration DateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
NPI 1649945023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1822 E BLUEFIELD AVE, Phoenix, AZ 85022

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

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 Imagine Change Counseling And Psychotherapy, PLLC's NPI number?

The NPI number for Imagine Change Counseling And Psychotherapy, PLLC is 1649945023. It was assigned to this organization in the NPPES registry on August 9, 2021.

Where is Imagine Change Counseling And Psychotherapy, PLLC located?

Imagine Change Counseling And Psychotherapy, PLLC is located at 1822 E Bluefield Ave, Phoenix, AZ 85022. The listed phone number is (424) 298-0560.

What is Imagine Change Counseling And Psychotherapy, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Imagine Change Counseling And Psychotherapy, PLLC was last updated on August 9, 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.