Organization Active NPI

Change Happens, LLC

  • Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1366140477
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CHANGE HAPPENS, LLC
Practice address
1000 N Hiatus Rd Ste 120
Pembroke Pines, FL 33026-3094
Phone
(954) 651-3565
Fax
(754) 263-5932
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Mrs. Crystal Prestia, LCSW, CAPNPI 1962952226
Title
Owner
Phone
(954) 651-3565

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1000 N Hiatus Rd Ste 120
Pembroke Pines, FL 33026-3094

Mailing address

1000 N Hiatus Rd Ste 120
Pembroke Pines, FL 33026-3094
Phone (954) 651-3565

National Provider Directory

National Provider Directory

Locations

1000 N Hiatus Rd
Ste 120
Pembroke Pines, FL 33026
Phone (954) 651-3565

1931 NW 150th Ave
Ste 244
Pembroke Pines, FL 33028

Practitioners & affiliated clinicians

Practitioners 1

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": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1366140477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N HIATUS RD STE 120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263094",
            "telephone_number": "954-651-3565",
            "fax_number": "754-263-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N HIATUS RD STE 120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263094",
            "telephone_number": "954-651-3565",
            "fax_number": "754-263-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE HAPPENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-09-05",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "PRESTIA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-651-3565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, CAP"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.