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

Supportive Change Counseling & Consulting

Organization Mental Health Counselor · NPI 1235016106

Supportive Change Counseling & Consulting provides Mental Health Counselor services in Roseville, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2335 Woodbridge St Apt 338
Roseville, MN 55113-4763
Phone: (612) 367-7287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1235016106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoine Jackson — Owner / Clinical Director · (612) 367-7287
Other names Supportive Change Counseling
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address202 N Cedar Ave Ste 1, Owatonna, MN 55060-2306

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