Active NPI
Time 4 Change, LLC
Doing business as Time 4 Change Wellness Solutions
- Mental Health Counselor
- Santa Fe, NM
National Provider Identifier
1255071304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TIME 4 CHANGE, LLC
- Doing business as
- Time 4 Change Wellness Solutions
- Practice address
- 57 Blue Harvest LP
Santa Fe, NM 87506 - Phone
- (505) 709-0608
- NPI assigned
- Mar 29, 2022
- Last updated
- Aug 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Troy Campbell, DBH, LCSW
- Title
- Owner/Clinician
- Phone
- (505) 709-0608
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Case Management Agency | 251B00000X | NU | ||
| Foster Care Agency | 253J00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
57 Blue Harvest LP
Santa Fe, NM 87506
Mailing address
PO Box 1631
Espanola, NM 87532-1631
Phone (505) 709-0608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437615564 | Medicaid | NM |
Other names 1
- Time 4 Change Wellness Solutions
National Provider Directory
National Provider DirectoryPractitioners & 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": "1648512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1255071304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1631",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875321631",
"telephone_number": "505-709-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 BLUE HARVEST LP",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87506",
"telephone_number": "505-709-0608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIME 4 CHANGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-29",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "505-709-0608",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DBH, LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437615564",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Time 4 Change Wellness Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.