Organization Active NPI

Progress and Change Therapy LLC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1104515543
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROGRESS AND CHANGE THERAPY LLC
Practice address
610 E Zack St Ste 110-4257
Tampa, FL 33602-3972
Phone
(813) 403-0068
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Trenace L BrownNPI 1124714779
Title
Owner
Phone
(813) 403-0068

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

610 E Zack St Ste 110-4257
Tampa, FL 33602-3972

Mailing address

8303 Mark Twain PL
Tampa, FL 33637-6314
Phone (813) 403-0068

National Provider Directory

National Provider Directory

Locations

610 E Zack St
Ste 1104257
Tampa, FL 33602
Phone (813) 403-0068

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1104515543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 MARK TWAIN PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336376314",
            "telephone_number": "813-403-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E ZACK ST STE 110-4257",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023972",
            "telephone_number": "813-403-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS AND CHANGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TRENACE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-403-0068"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.