AFFECTING CHANGE, LLC
NPI 1699063297
Community/Behavioral Health in Southfield, MI

Q: What is Affecting Change, LLC's NPI number?

The NPI number for Affecting Change, LLC is 1699063297. It was assigned to this organization in the NPPES registry on July 16, 2011.

Q: What is Affecting Change, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 16, 2011

22511 TELEGRAPH RD STE 128, SOUTHFIELD, MI 48033(248) 905-1126(313) 209-8989 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Affecting Change, Llc NPPES

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

AFFECTING CHANGE, LLC (NPI 1699063297) is a healthcare organization registered as a community/behavioral health in Southfield, Michigan and active in the NPI registry since July 2011. The organization lists Andre D Charley, Owner, as its authorized official.

NPPES Registry Identity

NPI1699063297

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameAFFECTING CHANGE, LLC

Location Address22511 TELEGRAPH RD STE 128Southfield, MI 48033-4130

Mailing Address22511 Telegraph Rd Ste 128Southfield, MI 48033-4130 · (248) 905-1126 · Fax (313) 209-8989

Phone(248) 905-1126

Fax(313) 209-8989

Organization SubpartNo

Authorized OfficialAndre D CharleyOwner · (313) 587-9869

Enumeration DateJuly 16, 2011

Last NPPES UpdateMarch 21, 2022

NPPES CertifiedMarch 21, 2022

✔ NPI 1699063297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MI · D25724

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

22511 TELEGRAPH RD STE 128, Southfield, MI 48033

Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Affecting Change, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Affecting Change, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andre Charley, LMSW

Clinical Social Worker

NPI 1942570817

22511 TELEGRAPH RD
Southfield, MI 48033

(313) 587-9869

✔ 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 Affecting Change, LLC's NPI number?

The NPI number for Affecting Change, LLC is 1699063297. It was assigned to this organization in the NPPES registry on July 16, 2011.

Where is Affecting Change, LLC located?

Affecting Change, LLC is located at 22511 Telegraph Rd Ste 128, Southfield, MI 48033. The listed phone number is (248) 905-1126.

What is Affecting Change, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Affecting Change, LLC enrolled in Medicare?

Yes. Affecting Change, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Affecting Change, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Affecting Change, LLC. 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 Affecting Change, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Affecting Change, LLC 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 Affecting Change, LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.