Imagine Change Counseling and Psychotherapy, PLLC
NPI 1649945023 · Clinical Social Worker · Phoenix, AZ
Imagine Change Counseling and Psychotherapy, PLLC is a Clinical Social Worker organization in Phoenix, AZ (NPI 1649945023).
Provider details
- NPI number
- 1649945023
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shannon Jacobson, Owner(424) 298-0560
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
4 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
- 2021-08-09
- Last updated
- 2021-08-09
- Certified
- 2021-08-09
Frequently asked questions
- What is Imagine Change Counseling and Psychotherapy, PLLC's NPI number?
- Imagine Change Counseling and Psychotherapy, PLLC's National Provider Identifier (NPI) is 1649945023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imagine Change Counseling and Psychotherapy, PLLC?
- Imagine Change Counseling and Psychotherapy, PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Imagine Change Counseling and Psychotherapy, PLLC located?
- Imagine Change Counseling and Psychotherapy, PLLC's practice location on file with NPPES is 1822 E Bluefield Ave, Phoenix, AZ 85022-1324.
- What is Imagine Change Counseling and Psychotherapy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Imagine Change Counseling and Psychotherapy, PLLC is (424) 298-0560.
- Who is the authorized official for Imagine Change Counseling and Psychotherapy, PLLC?
- The authorized official listed on Imagine Change Counseling and Psychotherapy, PLLC's NPPES record is Shannon Jacobson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imagine Change Counseling and Psychotherapy, PLLC's NPI active?
- Yes — Imagine Change Counseling and Psychotherapy, PLLC's NPI (1649945023) is active in the NPPES registry as of the last update on 2021-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.