# AVENUES FOR CHANGE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Avenues For Change
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114630076
- **Authorized official:** KELLEY JOHNSON LCPC-S, LCAC (PRESIDENT)
- **Authorized official phone:** (620) 796-2206

## Contact information

- **Practice address:** 809 S PATTON RD, GREAT BEND, KS 67530-4620
- **Practice address phone:** (620) 796-2206
- **Practice address fax:** (866) 288-1782
- **Mailing address:** PO BOX 1223, GREAT BEND, KS 67530-1223
- **Mailing address phone:** (620) 796-2206
- **Mailing address fax:** (866) 288-1782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2023
- **Last updated:** 04/14/2024