Active NPI
Seasons of Change LLC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1538545462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0157671
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryNPI 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.