Embracing Changes Center for Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMBRACING CHANGES CENTER FOR WELLNESS LLC

Practice address

4830 W Kennedy Blvd Ste 630
Tampa, FL 33609-2571

Phone

(813) 486-4920

Fax

(813) 428-5756

NPI assigned

Jun 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Karen Perez, LCSWNPI 1649485822

Title

President

Phone

(813) 493-7705

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Perez, MSW

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1649485822

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Regina Velasco, D.O.

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1851407613
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1003477662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32450 TALIMENA LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435839",
            "telephone_number": "813-486-4920",
            "fax_number": "813-428-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 W KENNEDY BLVD STE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092571",
            "telephone_number": "813-486-4920",
            "fax_number": "813-428-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING CHANGES CENTER FOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-02-21",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-493-7705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "SW11254",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melva Garcia Ely, D.D.S.
• Elysian Gardens LLC
• Osama Elzaafarany, MBBCH
• Shailaja Emani, MD
• Grecia Emberger
• Embracing Lyfe
• Sydnea Embry
• Elizabeth Emden, RN, BSN
• Emerald Bay Home Health LLC
• Emerald Bay Home Health LLC

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.