Change Within Reach, Licensed Clinical Social Worker Corporation - Medicare Mental Health Clinic in Encino, CA

Change Within Reach, Licensed Clinical Social Worker Corporation is a medicare enrolled mental health clinic (Clinic/center - Adult Mental Health) in Encino, California. The current practice location for Change Within Reach, Licensed Clinical Social Worker Corporation is 17777 Ventura Blvd Ste 105, Encino, California. For appointments, you can reach them via phone at (213) 445-2266. The mailing address for Change Within Reach, Licensed Clinical Social Worker Corporation is 17777 Ventura Blvd Ste 105, Encino, California and phone number is (213) 445-2266.

Change Within Reach, Licensed Clinical Social Worker Corporation is licensed to practice in California (license number LCSW28777). The clinic also participates in the medicare program and its NPI number is 1003207002. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (213) 445-2266.

Contact Information

Change Within Reach, Licensed Clinical Social Worker Corporation
17777 Ventura Blvd Ste 105
Encino
CA 91316
(213) 445-2266
(213) 908-1233

Map and Direction


Mental Health Clinic Profile

Full NameChange Within Reach, Licensed Clinical Social Worker Corporation
SpecialityClinic/Center
Location17777 Ventura Blvd Ste 105, Encino, California
Authorized Official Name and PositionAnna Gershelis (PRESIDENT)
Authorized Official Contact2134452266
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Change Within Reach, Licensed Clinical Social Worker Corporation
17777 Ventura Blvd Ste 105
Encino
CA 91316-3738

Ph: (213) 445-2266
Change Within Reach, Licensed Clinical Social Worker Corporation
17777 Ventura Blvd Ste 105
Encino
CA 91316

Ph: (213) 445-2266

NPI Details:

NPI Number1003207002
Provider Enumeration Date02/11/2015
Last Update Date05/23/2018

Medicare PECOS Information:

Medicare PECOS PAC ID2062723810
Medicare Enrollment IDO20150619000776

Medical Identifiers

Medical identifiers for Change Within Reach, Licensed Clinical Social Worker Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003207002NPI-NPPES
1285901942MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health LCSW28777 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Change Within Reach, Licensed Clinical Social Worker Corporation acts as a billing entity for following providers:
Provider NameSarah A Schwartz
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083927651
PECOS PAC ID: 3375707235
Enrollment ID: I20120606000272
Provider NameKim Boykin-johnson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1689987281
PECOS PAC ID: 8729226006
Enrollment ID: I20130528000266
Provider NameAnna Gershelis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285901942
PECOS PAC ID: 5092624130
Enrollment ID: I20140313000489
Provider NameCharlotte S Taylor
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1740493766
PECOS PAC ID: 0042239089
Enrollment ID: I20140314001429
Provider NameIrene S Fruchtbaum
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1386081743
PECOS PAC ID: 7911226808
Enrollment ID: I20150427001276
Provider NameVahe Sukiasyan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1982839437
PECOS PAC ID: 3375798796
Enrollment ID: I20150901003186
Provider NameLori L Menendyan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619304367
PECOS PAC ID: 8820308802
Enrollment ID: I20151103001549
Provider NameCynthia Stevens
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1508014143
PECOS PAC ID: 7315241874
Enrollment ID: I20160204000444
Provider NameShully Salman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1558695049
PECOS PAC ID: 6406162650
Enrollment ID: I20160321001264
Provider NameMary Eileen Cronin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1518050855
PECOS PAC ID: 4082912431
Enrollment ID: I20160418002340
Provider NameJacqueline Nicole Parodi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508982901
PECOS PAC ID: 0941591754
Enrollment ID: I20160627001245
Provider NameWilliam W Kaiser
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275650095
PECOS PAC ID: 2860776655
Enrollment ID: I20170222001497
Provider NameTimothy Paul Encinas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982953303
PECOS PAC ID: 2860769767
Enrollment ID: I20170525000019
Provider NameJonathan David Perlman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144747122
PECOS PAC ID: 4486913092
Enrollment ID: I20180104001786
Provider NameJennifer A Frank
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1164776019
PECOS PAC ID: 5890049761
Enrollment ID: I20181112001720
Provider NameDarya Potyagova
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770052698
PECOS PAC ID: 1658618186
Enrollment ID: I20190122003351
Provider NameMichelle Renee Kuranishi
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437526738
PECOS PAC ID: 1658618665
Enrollment ID: I20190129003816
Provider NameDe Andrea Le Anna Knight
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386045029
PECOS PAC ID: 1355774878
Enrollment ID: I20191213000668
Provider NameNancy Lynn Ezra
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1497898910
PECOS PAC ID: 6608203120
Enrollment ID: I20200304000213
Provider NameAlison L Whitman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588792907
PECOS PAC ID: 1850720483
Enrollment ID: I20200402003216
Provider NameNancy Lazar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053862433
PECOS PAC ID: 8628496262
Enrollment ID: I20200915001336
Provider NameCarlos Paul Duarte
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487009916
PECOS PAC ID: 5698188498
Enrollment ID: I20210118000328
Provider NameWilliam C Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649659152
PECOS PAC ID: 6901299684
Enrollment ID: I20220201001182

Reviews and Comments

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Medicare: Not Enrolled in Medicare
Practice Location: 15720 Ventura Blvd Ste 411, Encino, CA 91436
Phone: 818-298-1742    Fax: 818-385-0236

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.