{"npi":"1912761933","type":"NPI-2","status":"active","name":{"display":"Courage To Change Counseling Services LLC","other":[],"organization_name":"COURAGE TO CHANGE COUNSELING SERVICES LLC","authorised_official":"David Tipton"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"311 WALKER LN","city":"LONDON","state":"KY","postal_code":"407449036","country_code":"US","phone":"6062248451"},{"purpose":"MAILING","street_1":"311 WALKER LN","city":"LONDON","state":"KY","postal_code":"407449036","country_code":"US","phone":"6062248451"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240419001303","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"KY","pac_id":"0345689659"}]},"enumeration_date":"2024-02-09","last_updated":"2024-09-27","_meta":{"source":"NPPES","snapshot_date":"2024-09-27","doc_url":"https://findmynpi.com/api"}}