Change Reaction, Corp
Change Reaction, Corp is a healthcare organization registered as Community/Behavioral Health Agency in Riverdale, MD, holding Type 2 (organization) NPI 1659754091 since 2015. The authorized official on file is Kimberly Green, Owner/Program Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659754091 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Change Reaction, Corp |
| Practice address | 4404 QUEENSBURY RD STE 105, Riverdale, MD, 20737 |
| Phone | 3018640919 |
| Fax | 3018641301 |
| Enumeration date | 2015-07-02 |
| Last updated in NPPES | 2021-12-13 |
Authorized official
| Name | Kimberly Green |
|---|---|
| Title | Owner/Program Manager |
| Phone | 3014089639 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Copy-ready billing details
Provider: Change Reaction, Corp NPI: 1659754091 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 4404 QUEENSBURY RD STE 105, Riverdale, MD, 20737
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164601787 | Kimberly Green | Individual | Community/Behavioral Health Agency | Riverdale, MD |
| 1376056598 | Guiding Light Therapeutic Services | Organization | Mental Health Counselor | Riverdale, MD |
| 1275201758 | Change Reaction | Organization | Community/Behavioral Health Agency | Riverdale, MD |
| 1578280277 | Stacy Mackell | Individual | Counselor | Riverdale, MD |
| 1306553151 | Brittney Thomas | Individual | Mental Health Counselor | Riverdale, MD |
| 1477260032 | Tiffany Wheeler | Individual | Counselor | Riverdale, MD |
Verify this record
Cross-check NPI 1659754091 against the authoritative CMS record: view Change Reaction, Corp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Change Reaction, Corp?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-12-13.