Time to Change LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1076645-1-CDT Issued in MN

Legal business name

TIME TO CHANGE LLC

Practice address

8609 Lyndale Ave S
#110
Bloomington, MN 55420-2754

Phone

(952) 358-1009

NPI assigned

Mar 7, 2015

Organization subpart

No

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

Authorized official

Name

Allen Jerome Johnson, MA LADC

Title

Ceo

Phone

(952) 484-5401

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne Adelaide Johnson, LADC, BA, ICADC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Bloomington, MN
  • NPI 1740606227
  NPD (past)

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425686400000",
    "number": "1346633955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 LYNDALE AVE S",
            "address_2": "#110, #214, #215",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202754",
            "telephone_number": "952-358-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 LYNDALE AVE S",
            "address_2": "#110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202754",
            "telephone_number": "952-358-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME TO CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-07",
        "last_updated": "2015-03-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-484-5401",
        "authorized_official_credential": "MA LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1076645-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Thukral
• Paul Allen Thulin, MBA-HIS
• Carol Lynn Thunderhorse
• Elizabeth C Tickle, MA CCC/SLP
• Katherine Elizabeth Tilley, MD
• Timelyride LLC
• Lia Marie Tinnirello
• Jessica Tipping
• TMS Treatment Center Inc
• Tocare Wellness Center, LLC

• Community/Behavioral Health Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.