Organization Active NPI

Change by Choice LLC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1336685973
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9295 Issued in FL
Legal business name
CHANGE BY CHOICE LLC
Practice address
4715 NW 53Rd Ave Ste B
Gainesville, FL 32653-4856
Phone
(352) 575-8344
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Mrs. Sarah L Atkinson, ED. S, LMFT, LMHC
Title
Counselor/ Manager
Phone
(352) 575-8344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH9295 FL Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MT2959 FL

Addresses

Primary practice location

4715 NW 53Rd Ave Ste B
Gainesville, FL 32653-4856

Mailing address

4715 NW 53Rd Ave Ste B
Gainesville, FL 32653-4856
Phone (352) 575-8344

Other identifiers 2

IdentifierTypeStateIssuer
MT 2959OtherFLDOH, LMFT
MH9295OtherFLDOH, LMHC

National Provider Directory

National Provider Directory

Locations

4715 NW 53rd Ave
Ste B
Gainesville, FL 32653
Phone (352) 262-6423

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1336685973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 NW 53RD AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534856",
            "telephone_number": "352-575-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 NW 53RD AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534856",
            "telephone_number": "352-575-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE BY CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COUNSELOR/ MANAGER",
        "authorized_official_telephone_number": "352-575-8344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED. S, LMFT, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9295",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2959",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH, LMFT",
            "identifier": "MT 2959",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH, LMHC",
            "identifier": "MH9295",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.