Organization Active NPI

Time for a Change Counseling, LLC

  • Professional Counselor
  • Brookhaven, MS
National Provider Identifier
1306492947
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Apr 24, 2024

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, RPTNPI 1598266512
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03106225MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.theranest.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "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.

Verify at the official NPI Registry.