NPIMap

Organization Active NPI

Tampa Life Change

  • Adult Mental Health Clinic/Center
  • Tampa, FL
National Provider Identifier
1912370594
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH12974 Issued in FL
Legal business name
TAMPA LIFE CHANGE
Practice address
720 W Dr Martin Luther King Jr Blvd
Suite B
Tampa, FL 33603-3134
Phone
(813) 333-1425
NPI assigned
Nov 4, 2015
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Aniesa Schneberger, LMHC
Title
Therapist
Phone
(813) 333-1425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH12974 FL Primary

Addresses

Primary practice location

720 W Dr Martin Luther King Jr Blvd
Suite B
Tampa, FL 33603-3134

Mailing address

720 W Dr Martin Luther King Jr Blvd
Suite B
Tampa, FL 33603-3134
Phone (813) 333-1425

National Provider Directory

National Provider Directory

Locations

720 W Dr Martin Luther King Jr Blvd
Ste B
Tampa, FL 33603
Phone (813) 333-1425

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1912370594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033134",
            "telephone_number": "813-333-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033134",
            "telephone_number": "813-333-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA LIFE CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "SCHNEBERGER",
        "authorized_official_first_name": "ANIESA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "813-333-1425",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH12974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.