Blueprints at Room for Change PLLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BLUEPRINTS AT ROOM FOR CHANGE PLLC

Practice address

3256 Southern Dr Ste 461
Garland, TX 75043-1533

Phone

(214) 385-5445

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Katie Langford

Title

Credentialing

Phone

(940) 300-5077

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Blueprints at Room for Change2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Room for Change

  • Counselor
  • Garland, TX
  • NPI 1225535644
  NPD tax ID

Locations

Practitioners 1

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

• Amanda Esquivel, LPC, LCDC

  • Counselor
  • Garland, TX
  • NPI 1386064731
  NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1003574468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 SOUTHERN DR STE 461",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431533",
            "telephone_number": "940-230-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 SOUTHERN DR STE 461",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431533",
            "telephone_number": "214-385-5445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Clara Barton Blvd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750425731",
            "country_code": "US",
            "telephone_number": "214-385-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Oak Lawn Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752194308",
            "country_code": "US",
            "telephone_number": "214-385-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2318 Firewheel Parkway Suite 1000",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "75040",
            "country_code": "US",
            "telephone_number": "214-385-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 W Main St",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "TX",
            "postal_code": "760652939",
            "country_code": "US",
            "telephone_number": "214-385-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUEPRINTS AT ROOM FOR CHANGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "940-300-5077"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katalin Bloemer
• Monique Angele Blondel, MD
• Jamila Aisha Blount, FNP-C
• Sharhonda Blue, PA-C
• Bluehaven Psychiatry PLLC
• Carmen Blunt, DDS
• Bodavula Pediatrics PLLC
• Phani Bodavula, M.D.
• Sreevani Bodavula, APRN, FNP-C
• Jillian M Boehm, PA-C

• Substance Use Disorder Rehabilitation Clinic/Center in Garland, TX
• Providers in Garland, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.