Organization Active NPI

Positive Change Psychotherapy Counseling

Doing business as Counseling

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1336530245
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC-UNDERSUPERVISON Issued in TX
Legal business name
POSITIVE CHANGE PSYCHOTHERAPY COUNSELING
Doing business as
Counseling
Practice address
5601 Bridge St
Suite 300
Fort Worth, TX 76112-2384
Phone
(817) 492-7000
Fax
(817) 492-7001
NPI assigned
Feb 13, 2015
Last updated
Feb 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Ms. Florence Chime Onyia, MHR,LPC
Title
Owner/Ceo
Phone
(817) 492-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC TX
Community/Behavioral Health Agency 251S00000X LPC-UNDERSUPERVISON TX Primary

Addresses

Primary practice location

5601 Bridge St
Suite 300
Fort Worth, TX 76112-2384

Mailing address

5601 Bridge St
Suite 300
Fort Worth, TX 76112-2384
Phone (817) 492-7000

Other identifiers 1

IdentifierTypeStateIssuer
1891016721MedicaidOK

Other names 1

  • Counseling Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1336530245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST",
            "address_2": "SUITE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122384",
            "telephone_number": "817-492-7000",
            "fax_number": "817-492-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST",
            "address_2": "SUITE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122384",
            "telephone_number": "817-492-7000",
            "fax_number": "817-492-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGE PSYCHOTHERAPY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "ONYIA",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "CHIME",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "817-492-7000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHR,LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "LPC",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "LPC-UNDERSUPERVISON",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891016721",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.