Life Changes, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE CHANGES, LLC

Practice address

255 Primera Blvd
Suite 60
Lake Mary, FL 32746-2168

Phone

(407) 376-0991

Fax

(321) 234-8272

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Walker, LMHC, NCC

Title

Owner/Provider

Phone

(407) 376-0991

Specialties & licenses 1

Addresses

Tax ID family

Life Changes LLC2 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.

• Life Changes, LLC

  • Mental Health Counselor
  • Lake Mary, FL
  • NPI 1245829787
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberley Lee Walker, LMHC

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1629012893
  NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1871183954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 CONROY-WINDERMERE",
            "address_2": "#3341",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347869997",
            "telephone_number": "407-376-0991",
            "fax_number": "321-234-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PRIMERA BLVD",
            "address_2": "SUITE 60",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462168",
            "telephone_number": "407-376-0991",
            "fax_number": "321-234-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "407-376-0991",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidia Oliveira, D.O., P.a.
• Astrid Lied, APRN
• Jason Lief
• Kim M Lien
• Life Changes, LLC
• Life United, LLC.
• Light Homemaker and Companion Services LLC
• Casey Leigh Lightbourne, DC
• Kristina Lee Linares, MS OTR/L
• Nicole Sky Linares

• Mental Health Counselor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.