Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Imagine Change Counseling and Psychotherapy, PLLC

Organization Clinical Social Worker · NPI 1649945023

Imagine Change Counseling and Psychotherapy, PLLC provides Clinical Social Worker services in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1822 E Bluefield Ave
Phoenix, AZ 85022-1324
Phone: (424) 298-0560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1649945023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Jacobson — Owner · (424) 298-0560
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021
Mailing address1822 E Bluefield Ave, Phoenix, AZ 85022-1324

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