Dynamic Change Therapy LLC
NPI 1417674383 · Clinical Social Worker · East Lansing, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dynamic Change Therapy LLC is a Clinical Social Worker organization in East Lansing, MI (NPI 1417674383).
Provider details
- NPI number
- 1417674383
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cathy Gallegos, Credentialing Manager(517) 483-2461
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
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
3 yrs in NPPES 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
Registry dates
- Enumerated
- 2022-10-21
- Last updated
- 2022-10-24
- Certified
- 2022-10-24
Frequently asked questions
- What is Dynamic Change Therapy LLC's NPI number?
- Dynamic Change Therapy LLC's National Provider Identifier (NPI) is 1417674383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dynamic Change Therapy LLC?
- Dynamic Change Therapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dynamic Change Therapy LLC located?
- Dynamic Change Therapy LLC's practice location on file with NPPES is 1422 W Saginaw St, East Lansing, MI 48823-2434.
- What is Dynamic Change Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Dynamic Change Therapy LLC is (517) 331-0949.
- Does Dynamic Change Therapy LLC accept Medicare?
- Dynamic Change Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dynamic Change Therapy LLC?
- The authorized official listed on Dynamic Change Therapy LLC's NPPES record is Cathy Gallegos, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dynamic Change Therapy LLC's NPI active?
- Yes — Dynamic Change Therapy LLC's NPI (1417674383) is active in the NPPES registry as of the last update on 2022-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.