NPIMap

Organization Active NPI

Room for Change

  • Counselor
  • Garland, TX
National Provider Identifier
1225535644
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ROOM FOR CHANGE
Practice address
3256 Southern Dr Ste 461
Garland, TX 75043-1533
Phone
(940) 230-3381
NPI assigned
Apr 11, 2018
Last updated
Apr 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Amanda Esquivel, LPC- SUPERVISOR, LCDNPI 1386064731
Title
Owner, Clinician
Phone
(940) 230-3381

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

3256 Southern Dr Ste 461
Garland, TX 75043-1533

Mailing address

3256 Southern Dr Ste 461
Garland, TX 75043-1533
Phone (940) 230-3381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240116004483 TX Part B Supplier - Clinic/Group Practice 2365894284 Receives reassigned benefits from 16 practitioners
Practice locations: Garland, TX

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1225535644",
    "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": "940-230-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOM FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "ESQUIVEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "940-230-3381",
        "authorized_official_credential": "LPC- SUPERVISOR, LCD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.