CHANGEPOINT INTEGRATED HEALTH NPI 1205877610

NPI Information

  • NPI: 1205877610
  • Provider Name: CHANGEPOINT INTEGRATED HEALTH
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Former Legal Business Name: COMMUNITY COUNSELING CENTERS, INC
  • CLIA Number: 03D0881034
  • Address: 103 N 1ST AVE
    HOLBROOK, AZ
    ZIP 86025
  • Phone: (928) 537-2951

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NPI Details

CHANGEPOINT INTEGRATED HEALTH is a mental health (including community mental health center) clinic center in Holbrook, AZ. CHANGEPOINT INTEGRATED HEALTH NPI is 1205877610. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Community Counseling Centers, Inc.

The provider's business location address is:

103 N 1ST AVE
HOLBROOK, AZ
ZIP 86025-817
Phone: (928) 537-2951
Fax: (928) 892-5828

The provider's authorized official is Jeffrey Oakes .
The authorized official title is Chief Executive Officer and has the following contact phone number (928) 537-2951.

The CLIA number assigned to this NPI record is 03D0881034 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 9/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)OTC6041ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003450OTHERARIZONAAHCCCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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