COURAGE TO CHANGE COUNSELING SERVICES LLC
NPI 1912761933
Counselor - Mental Health in London, KY

Active since February 09, 2024
311 WALKER LN, LONDON, KY 40744(606) 224-8451 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2024, Mar 6, 2024, Feb 11, 2024 (3 updates tracked since 2024).

About Courage To Change Counseling Services Llc NPPES

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

COURAGE TO CHANGE COUNSELING SERVICES LLC (NPI 1912761933) is a healthcare organization registered as a mental health in London, Kentucky and active in the NPI registry since February 2024. The organization lists David T Tipton, Owner, as its authorized official.

NPPES Registry Identity

NPI1912761933
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOURAGE TO CHANGE COUNSELING SERVICES LLC
Location Address311 WALKER LNLondon, KY 40744-9036
Mailing Address311 Walker LnLondon, KY 40744-9036 · (606) 224-8451
Organization SubpartYesParent: Courage To Change Corp
Authorized OfficialDavid T TiptonOwner · (606) 224-8451
Enumeration DateFebruary 9, 2024
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1912761933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
311 WALKER LN, London, KY 40744

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courage To Change Counseling Services 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 Courage To Change Counseling Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1376312397
2785 N MAIN ST STE 101B
Hazard, KY 41701
(606) 224-8451
✔ PECOS52 mi

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 Courage To Change Counseling Services LLC's NPI number?

The NPI number for Courage To Change Counseling Services LLC is 1912761933. It was assigned to this organization in the NPPES registry on February 9, 2024.

Where is Courage To Change Counseling Services LLC located?

Courage To Change Counseling Services LLC is located at 311 Walker Ln, London, KY 40744. The listed phone number is (606) 224-8451.

What is Courage To Change Counseling Services LLC's specialty?

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

Is Courage To Change Counseling Services LLC enrolled in Medicare?

Yes. Courage To Change Counseling Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Courage To Change Counseling Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Courage To Change Counseling Services 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.

When was this NPI record last updated?

The NPPES record for Courage To Change Counseling Services LLC was last updated on September 27, 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.