Active NPI
Time for Change
- Community/Behavioral Health Agency
- District Heights, MD
National Provider Identifier
1518319573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PRC14577
- Legal business name
- TIME FOR CHANGE
- Practice address
- 1651 Tulip Ave
District Heights, MD 20747-2622 - Phone
- (202) 403-9206
- NPI assigned
- Jul 1, 2016
- 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
- Mrs. Tonya Ridley, LPC CRC
- Title
- Ceo
- Phone
- (202) 768-8454
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | PRC14577 | DC | Primary |
Addresses
Primary practice location
1651 Tulip Ave
District Heights, MD 20747-2622
Mailing address
1929 Valley Ter SE
Washington, DC 20032-4627
Phone (202) 768-8454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Xenia St SW
Ste 200
Washington, DC 20032
Phone (202) 703-0223
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Washington, DC
- NPI 1164875266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467331200000",
"number": "1518319573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 VALLEY TER SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324627",
"telephone_number": "202-768-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 TULIP AVE",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207472622",
"telephone_number": "202-403-9206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIME FOR CHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-01",
"last_updated": "2016-07-01",
"status": "A",
"authorized_official_last_name": "RIDLEY",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "202-768-8454",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC CRC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "DC",
"license": "PRC14577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in District Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.