Organization Active NPI

Dare to Change, LLC

  • Professional Counselor
  • Parsippany, NJ
National Provider Identifier
1083129837
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00474700 Issued in NJ
Legal business name
DARE TO CHANGE, LLC
Practice address
90 E Halsey Rd Ste 354
Parsippany, NJ 07054-3709
Phone
(862) 261-0694
NPI assigned
Dec 1, 2017
Last updated
Aug 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Mrs. Rosa Mercado, MANPI 1528405842
Title
Licensed Professional Counselor
Phone
(862) 261-0694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00474700 NJ Primary

Addresses

Primary practice location

90 E Halsey Rd Ste 354
Parsippany, NJ 07054-3709

Mailing address

90 E Halsey Rd Ste 354
Parsippany, NJ 07054-3709
Phone (862) 261-0694

National Provider Directory

National Provider Directory
Tax ID family
Dare to Change LLC2 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.

Locations

90 E Halsey Rd
Ste 331
Parsippany, NJ 07054
Phone (862) 258-6928

90 E Halsey Rd
Ste 354
Parsippany, NJ 07054
Phone (862) 261-0694

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1083129837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E HALSEY RD STE 354",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543709",
            "telephone_number": "862-261-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E HALSEY RD STE 354",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543709",
            "telephone_number": "862-261-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE TO CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "862-261-0694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00474700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.