NPIMap

Organization Active NPI

Center for Change of Florida

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1790812386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4238 Issued in FL
Legal business name
CENTER FOR CHANGE OF FLORIDA
Practice address
2801 Fruitville Rd
Suite 260
Sarasota, FL 34237-5343
Phone
(941) 955-5518
Fax
(941) 330-1966
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Christine Lynn Michaels, LMHCNPI 1053358374
Title
Co-Owner
Phone
(941) 955-5518

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH4238 FL Primary

Addresses

Primary practice location

2801 Fruitville Rd
Suite 260
Sarasota, FL 34237-5343

Mailing address

2801 Fruitville Road
Suite 260
Sarasota, FL 34237
Phone (941) 955-5518

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790812386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 FRUITVILLE ROAD",
            "address_2": "SUITE 260",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34237",
            "telephone_number": "941-955-5518",
            "fax_number": "941-330-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FRUITVILLE RD",
            "address_2": "SUITE 260",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375343",
            "telephone_number": "941-955-5518",
            "fax_number": "941-330-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHANGE OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "941-955-5518",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.