Organization Active NPI

Change M.F.C.R

  • Mental Health Counselor
  • Altamonte Springs, FL
National Provider Identifier
1487101580
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHANGE M.F.C.R
Practice address
1109 E Altamonte Dr
Altamonte Springs, FL 32701-5000
Phone
(407) 485-5445
Fax
(407) 577-2096
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Carolina Alvarez, LMFTNPI 1255679197
Title
President
Phone
(407) 485-5445

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1109 E Altamonte Dr
Altamonte Springs, FL 32701-5000

Mailing address

620 Maitland Ave
Altamonte Springs, FL 32701-6834
Phone (407) 875-5704

National Provider Directory

National Provider Directory

Locations

1109 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 485-5445

620 Maitland Ave
Altamonte Springs, FL 32701
Phone (407) 875-5704

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": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1487101580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016834",
            "telephone_number": "407-875-5704",
            "fax_number": "407-577-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015000",
            "telephone_number": "407-485-5445",
            "fax_number": "407-577-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE M.F.C.R",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-485-5445",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.