Organization Active NPI

Florida Treatment for Change Inc

  • Substance Abuse Rehabilitation Facility
  • Fort Myers, FL
National Provider Identifier
1932674538
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FLORIDA TREATMENT FOR CHANGE INC
Practice address
2180 Maravilla LN Ste 1
Fort Myers, FL 33901-7221
Phone
(239) 202-8993
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Ms. Kari-Anne Spiller
Title
Program Director
Phone
(239) 333-8079

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2180 Maravilla LN Ste 1
Fort Myers, FL 33901-7221

Mailing address

2917 NE 4TH PL
Cape Coral, FL 33909-6804
Phone (239) 333-8079

National Provider Directory

National Provider Directory

Locations

2180 Maravilla Ln
Ste 1
Fort Myers, FL 33901
Phone (239) 202-8993

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": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1932674538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 NE 4TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096804",
            "telephone_number": "239-333-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MARAVILLA LN STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017221",
            "telephone_number": "239-202-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA TREATMENT FOR CHANGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "SPILLER",
        "authorized_official_first_name": "KARI-ANNE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "239-333-8079",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.