Active NPI
Center for Theraputic Change
- Community/Behavioral Health Agency
- Arlington, TX
National Provider Identifier
1386145548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CENTER FOR THERAPUTIC CHANGE
- Practice address
- 1101 W Randol Mill Rd
Arlington, TX 76012-2515 - Phone
- (817) 548-9990
- NPI assigned
- Feb 23, 2018
- Last updated
- Mar 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Bellamy
- Title
- Owner
- Phone
- (817) 548-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1101 W Randol Mill Rd
Arlington, TX 76012-2515
Mailing address
1101 W Randol Mill Rd
Arlington, TX 76012-2515
Phone (817) 548-9990
Other practice location 1
6320 Brentwood Stair Rd
Ft Worth, TX 76112-3136
Phone (817) 548-9990
National Provider Directory
National Provider DirectoryLocations
1101 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-9990
6320 Brentwood Stair Rd
Ft Worth, TX 76112
Phone (817) 548-9990
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Fort Worth, TX
- NPI 1063848786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1386145548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122515",
"telephone_number": "817-548-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122515",
"telephone_number": "817-548-9990"
}
],
"practiceLocations": [
{
"address_1": "6320 Brentwood Stair Rd",
"address_purpose": "LOCATION",
"city": "Ft Worth",
"state": "TX",
"postal_code": "761123136",
"country_code": "US",
"telephone_number": "817-548-9990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTER FOR THERAPUTIC CHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-23",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "BELLAMY",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-548-9990"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.