CENTER FOR CHANGE, LLC
NPI 1720511330
Counselor - Mental Health in Walworth, WI

Active since April 10, 2017
129 KENOSHA ST, WALWORTH, WI 53184(262) 607-2770 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Apr 10, 2017 (2 updates tracked since 2017).

About Center For Change, Llc NPPES

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

CENTER FOR CHANGE, LLC (NPI 1720511330) is a healthcare organization registered as a mental health in Walworth, Wisconsin and active in the NPI registry since April 2017. The organization lists Jessica Young, Owner, as its authorized official.

NPPES Registry Identity

NPI1720511330
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCENTER FOR CHANGE, LLC
Location Address129 KENOSHA STWalworth, WI 53184
Mailing AddressPo Box 252Walworth, WI 53184-0252 · (262) 607-2770
Organization SubpartNo
Authorized OfficialJessica YoungOwner · (262) 607-2770
Enumeration DateApril 10, 2017
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
NPI 1720511330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WI · 5479-125
129 KENOSHA ST, Walworth, WI 53184

Other Identifiers 1

Medicaid100054731WI

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

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
129 KENOSHA ST
WALWORTH, WI 53184
Counselor (Professional)
129 KENOSHA ST
WALWORTH, WI 53184
Counselor (Mental Health)
129 KENOSHA ST
WALWORTH, WI 53184
Counselor (Professional)
129 KENOSHA ST
WALWORTH, WI 53184
Counselor (Mental Health)
129 KENOSHA ST
WALWORTH, WI 53184

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 Center For Change, LLC's NPI number?

The NPI number for Center For Change, LLC is 1720511330. It was assigned to this organization in the NPPES registry on April 10, 2017.

Where is Center For Change, LLC located?

Center For Change, LLC is located at 129 Kenosha St, Walworth, WI 53184. The listed phone number is (262) 607-2770.

What is Center For Change, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Center For Change, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Center For 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 Center For Change, LLC was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.