Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Change Inc

Organization Professional Counselor · NPI 1316203706

Change Inc is a Professional Counselor in Middletown, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1251 S Main St
Middletown, CT 06457-5050
Phone: (860) 346-0771
Fax: (860) 346-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X (CT)
Professional Counselor Taxonomy 101YP2500X (CT)
Clinical Social Worker Taxonomy 1041C0700X (CT)
Preferred Provider Organization Taxonomy 305R00000X

Record details

NPI number1316203706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Gibbs — President / C.E.O. · (860) 346-0771
NPI enumeratedApril 10, 2012
Last updated in NPPESMay 13, 2015
Mailing address1251 S Main St, Middletown, CT 06457-5050

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