Organization Active NPI

The Center 4 Change, LLC

  • Community/Behavioral Health Agency
  • Largo, FL
National Provider Identifier
1700054368
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0002835 Issued in FL
Legal business name
THE CENTER 4 CHANGE, LLC
Practice address
13787 Belcher Rd S
Suite 340
Largo, FL 33771-4065
Phone
(727) 519-0707
Fax
(727) 523-9102
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Bryan A Bacher, M.A., L.M.H.C.NPI 1902125115
Title
Owner
Phone
(727) 519-0707

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
Community/Behavioral Health Agency 251S00000X 0002835 FL Primary

Addresses

Primary practice location

13787 Belcher Rd S
Suite 340
Largo, FL 33771-4065

Mailing address

13787 Belcher Rd S
Suite 340
Largo, FL 33771-4065
Phone (727) 519-0707

National Provider Directory

National Provider Directory

Locations

13787 Belcher Rd S
Ste 340
Largo, FL 33771
Phone (727) 216-3170

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": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1700054368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13787 BELCHER RD S",
            "address_2": "SUITE 340",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714065",
            "telephone_number": "727-519-0707",
            "fax_number": "727-523-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13787 BELCHER RD S",
            "address_2": "SUITE 340",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714065",
            "telephone_number": "727-519-0707",
            "fax_number": "727-523-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER 4 CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "BACHER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-519-0707",
        "authorized_official_credential": "M.A., L.M.H.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0002835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.