Indelible Changes LLC
NPI 1720540107ActiveOrganization· Counselor, Mental Health· Woodbridge, VA
Counselor, Mental Health in Woodbridge, Virginia, registered in NPPES in April 2019. The authorized official on file is Nicholas Antonio Williams, LPC, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720540107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2019 |
| Last updated in NPPES | Dec 14, 2022 |
| Certified by provider | Dec 14, 2022 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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