Active NPI
Time for a Change Counseling, LLC
- Professional Counselor
- Brookhaven, MS
National Provider Identifier
1306492947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- TIME FOR A CHANGE COUNSELING, LLC
- Practice address
- 230 W Court St
Brookhaven, MS 39601-2750 - Phone
- (601) 207-9531
- Fax
- (601) 258-7098
- NPI assigned
- Aug 9, 2019
- 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
- Mrs. Megan M Hamm, ED.S, LPC, RPT
- Title
- Owner/Therapist
- Phone
- (601) 207-9531
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
230 W Court St
Brookhaven, MS 39601-2750
Mailing address
PO Box 4131
Brookhaven, MS 39603-6131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03106225 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.theranest.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- McComb, MS
- NPI 1598266512
-
- Counselor
- Brookhaven, MS
- NPI 1750101523
-
- Professional Counselor
- Fayette, MS
- NPI 1518667666
-
- Mental Health Counselor
- Biloxi, MS
- NPI 1912768128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1306492947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4131",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396036131",
"fax_number": "601-258-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W COURT ST",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012750",
"telephone_number": "601-207-9531",
"fax_number": "601-258-7098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIME FOR A CHANGE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-09",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "HAMM",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "601-207-9531",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ED.S, LPC, RPT"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03106225",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.theranest.com",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "used online",
"address_1": "332 E Monticello St",
"city": "Brookhaven",
"state": "MS",
"country_code": "US",
"postal_code": "396013430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.