Supportive Change Counseling & Consulting
NPI 1235016106 · Mental Health Counselor · Roseville, MN
Supportive Change Counseling & Consulting is a Mental Health Counselor organization in Roseville, MN (NPI 1235016106).
Provider details
- NPI number
- 1235016106
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Antoine Jackson, Owner / Clinical Director(612) 367-7287
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Supportive Change Counseling
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Frequently asked questions
- What is Supportive Change Counseling & Consulting's NPI number?
- Supportive Change Counseling & Consulting's National Provider Identifier (NPI) is 1235016106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supportive Change Counseling & Consulting?
- Supportive Change Counseling & Consulting is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Supportive Change Counseling & Consulting located?
- Supportive Change Counseling & Consulting's practice location on file with NPPES is 2335 Woodbridge St Apt 338, Roseville, MN 55113-4763.
- What is Supportive Change Counseling & Consulting's phone number?
- The practice phone number listed in the NPPES registry for Supportive Change Counseling & Consulting is (612) 367-7287.
- Who is the authorized official for Supportive Change Counseling & Consulting?
- The authorized official listed on Supportive Change Counseling & Consulting's NPPES record is Antoine Jackson, Owner / Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supportive Change Counseling & Consulting's NPI active?
- Yes — Supportive Change Counseling & Consulting's NPI (1235016106) is active in the NPPES registry as of the last update on 2025-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.