NPIMap

Organization Active NPI

A Time to Change Counseling Center

  • Clinical Social Worker
  • Crawfordville, FL
National Provider Identifier
1306079587
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
A TIME TO CHANGE COUNSELING CENTER
Practice address
2140 Crawfordville Hwy
Suite B
Crawfordville, FL 32327-1009
Phone
(850) 926-1900
Fax
(850) 926-1930
NPI assigned
Sep 3, 2009
Last updated
Sep 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Mrs. Sabrina D. Joiner, LCSWNPI 1730220252
Title
President
Phone
(850) 926-1900

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2140 Crawfordville Hwy
Suite B
Crawfordville, FL 32327-1009

Mailing address

2140 Crawfordville Hwy
Suite B
Crawfordville, FL 32327-1009
Phone (850) 926-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181101000434 FL Part B Supplier - Clinic/Group Practice 5890048250 Receives reassigned benefits from 12 practitioners
Practice locations: Crawfordville, FL; Tallahasse, FL; Tallahassee, FL

National Provider Directory

National Provider Directory
Tax ID family
A Time to Change Counseling Center2 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

1363 E Lafayette St
Tallahassee, FL 32301
Phone 8509261900 ext. 1015

2417 Fleischmann Rd
Ste 4
Tallahassee, FL 32308
Phone (850) 926-1900

2509 Barrington Cir
Ste 112
Tallahassee, FL 32308
Phone (850) 264-6642

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1306079587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 CRAWFORDVILLE HWY",
            "address_2": "SUITE B",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271009",
            "telephone_number": "850-926-1900",
            "fax_number": "850-926-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 CRAWFORDVILLE HWY",
            "address_2": "SUITE B",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271009",
            "telephone_number": "850-926-1900",
            "fax_number": "850-926-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TIME TO CHANGE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "JOINER",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-926-1900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.