{"npi":"1003207002","type":"NPI-2","status":"active","name":{"display":"Change Within Reach INC","other":[],"organization_name":"CHANGE WITHIN REACH INC","authorised_official":"Anna Gershelis"},"specialty":{"primary_taxonomy":"261QM0850X","primary_taxonomy_description":"Adult Mental Health Clinic/Center","slug":"adult-mental-health-clinic-center","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":null,"license":null},{"code":"106H00000X","description":"Marriage & Family Therapist","primary":false,"state":null,"license":null},{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":true,"state":"CA","license":"LCSW28777"}]},"addresses":[{"purpose":"LOCATION","street_1":"17777 VENTURA BLVD STE 105","city":"ENCINO","state":"CA","postal_code":"91316","country_code":"US","phone":"2134452266","fax":"2139081233"},{"purpose":"MAILING","street_1":"17777 VENTURA BLVD STE 105","city":"ENCINO","state":"CA","postal_code":"913163738","country_code":"US","phone":"2134452266","fax":"2139081233"}],"license":{"state":"CA","number":"LCSW28777"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1285901942","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150619000776","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"2062723810"}]},"enumeration_date":"2015-02-11","last_updated":"2024-04-26","_meta":{"source":"NPPES","snapshot_date":"2024-04-26","doc_url":"https://findmynpi.com/api"}}