Organization Active NPI

Time to Change, Inc

  • Mental Health Counselor
  • Sanford, NC
National Provider Identifier
1073871919
Registry record updated Apr 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TIME TO CHANGE, INC
Practice address
102 Wicker St
Sanford, NC 27330-4252
Phone
(919) 777-9025
Fax
(919) 777-9026
NPI assigned
Apr 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2012

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

Authorized official

Name
Carolyn Allen
Title
Ceo
Phone
(770) 925-5747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

102 Wicker St
Sanford, NC 27330-4252

Mailing address

102 Wicker St
Sanford, NC 27330-4252
Phone (919) 777-9025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335657600000",
    "number": "1073871919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304252",
            "telephone_number": "919-777-9025",
            "fax_number": "919-777-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304252",
            "telephone_number": "919-777-9025",
            "fax_number": "919-777-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME TO CHANGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-29",
        "last_updated": "2012-04-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-925-5747"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.