A Change of Mind, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9293 Issued in FL

Legal business name

A CHANGE OF MIND, LLC

Practice address

5020 Tamiami Trail N
Suite 202
Naples, FL 34103

Phone

(239) 260-4387

Fax

(844) 715-9627

NPI assigned

Feb 3, 2017

Last updated

Jan 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heidi Ann Wilson, LCSWNPI 1992020572

Title

Owner

Phone

(239) 260-4387

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heidi Ann Wilson, LCSW

  • Clinical Social Worker
  • Naples, FL
  • NPI 1992020572
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1720526387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 TAMIAMI TRAIL N",
            "address_2": "SUITE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34103",
            "telephone_number": "239-260-4387",
            "fax_number": "844-715-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 TAMIAMI TRAIL N",
            "address_2": "SUITE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34103",
            "telephone_number": "239-260-4387",
            "fax_number": "844-715-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHANGE OF MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-260-4387",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9293",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW9293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Better Behavior Group LLC
• A Better Hearing Inc.
• A Better Life Senior Care LLC
• A Better Vue Eye Physicians
• A Caring Home Health LLC
• A Health Park Dental Group
• A Helping Hand Healthcare LLC
• A Therapy Touch LLC
• A. Fueredi Radiology P.a.
• A&S Behavioral Care Inc

• Clinical Social Worker in Naples, FL
• Providers in Naples, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.

Verify at the official NPI Registry.