{"npi":"1114356649","type":"NPI-2","status":"active","name":{"display":"Changing Course Counseling, Plc","other":[],"organization_name":"CHANGING COURSE COUNSELING, PLC","authorised_official":"Kelle Wood"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3071 COMMERCE DR STE B","city":"FORT GRATIOT","state":"MI","postal_code":"480593869","country_code":"US","phone":"8103579318","fax":"8104799684"},{"purpose":"MAILING","street_1":"4131 FAIRWAY DR","city":"FORT GRATIOT","state":"MI","postal_code":"480593905","country_code":"US","phone":"8103579318","fax":"8104799684"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20140825000303","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"8426276064"}]},"enumeration_date":"2013-11-05","last_updated":"2024-08-07","_meta":{"source":"NPPES","snapshot_date":"2024-08-07","doc_url":"https://findmynpi.com/api"}}