MEDICARE: KEY CHANGE COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1578420238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEY CHANGE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	5917 DEEP SPRING CIR
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-6880
Country	:	US
Telephone Number	:	252-579-0846
Fax Number	:	252-324-5662

Provider Business Practice Location Address
First Line	:	2006 S MAIN ST STE 204
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-9391
Country	:	US
Telephone Number	:	252-579-0846
Fax Number	:	252-324-5662

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	KERRY CATHERINE HOPSON
Credential	:	MSW, LCSW
Telephone Number	:	252-579-0846

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/13/2026

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