Provider Demographics
NPI:1841156551
Name:CHANGING LEAF COUNSELING
Entity type:Organization
Organization Name:CHANGING LEAF COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LMHC
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNER SHERRETS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:319-327-7711
Mailing Address - Street 1:2349 JAMESTOWN AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:IA
Mailing Address - Zip Code:50644-9709
Mailing Address - Country:US
Mailing Address - Phone:319-327-7711
Mailing Address - Fax:319-435-6797
Practice Address - Street 1:2349 JAMESTOWN AVE STE 7
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:IA
Practice Address - Zip Code:50644-9709
Practice Address - Country:US
Practice Address - Phone:319-327-7711
Practice Address - Fax:319-435-6797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-27
Last Update Date:2025-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty