Organization Active NPI

Seasons of Change LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1538545462
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0157671 Issued in NM
Legal business name
SEASONS OF CHANGE LLC
Practice address
4312 Carlisle Blvd NE
Albuquerque, NM 87107-4811
Phone
(575) 322-2936
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Ms. Latitia Brown, M.ED. LPCC
Title
Owner
Phone
(575) 322-2936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 0157671 NM Primary

Addresses

Primary practice location

4312 Carlisle Blvd NE
Albuquerque, NM 87107-4811

Mailing address

4312 Carlisle Blvd NE
Albuquerque, NM 87107-4811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1538545462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074811",
            "telephone_number": "575-322-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LATITIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-322-2936",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED. LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0157671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.