Organization Active NPI

Life Changing Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Orange Park, FL
National Provider Identifier
1649784133
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LIFE CHANGING SOLUTIONS
Practice address
3452 Live Oak Hollow Dr
Orange Park, FL 32065-2525
Phone
(904) 566-1955
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Merland BakerNPI 1568804011
Title
Director
Phone
(904) 566-1955

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X FL Primary

Addresses

Primary practice location

3452 Live Oak Hollow Dr
Orange Park, FL 32065-2525

Mailing address

3452 Live Oak Hollow Dr
Orange Park, FL 32065-2525
Phone (904) 566-1955

National Provider Directory

National Provider Directory
Tax ID family
Life Changing Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649784133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 LIVE OAK HOLLOW DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652525",
            "telephone_number": "904-566-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 LIVE OAK HOLLOW DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652525",
            "telephone_number": "904-566-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MERLAND",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-566-1955"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.