NPIMap

Organization Active NPI

Steps for Change Behavioral Healthcare

  • Case Management Agency
  • Winter Haven, FL
National Provider Identifier
1952765596
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
STEPS FOR CHANGE BEHAVIORAL HEALTHCARE
Practice address
634 1St St S
Winter Haven, FL 33880-3603
Phone
(407) 912-4574
Fax
(336) 824-1737
NPI assigned
Apr 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Kimesha Spinks
Title
Ceo
Phone
(336) 302-0801

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X FL

Addresses

Primary practice location

634 1St St S
Winter Haven, FL 33880-3603

Mailing address

634 1St St S
Winter Haven, FL 33880-3603
Phone (407) 912-4574

Other identifiers 2

IdentifierTypeStateIssuer
ATN620797MedicaidFL
ATN620799MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Steps for Change Behavioral Healthcare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1952765596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803603",
            "telephone_number": "407-912-4574",
            "fax_number": "336-824-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803603",
            "telephone_number": "407-912-4574",
            "fax_number": "336-824-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPS FOR CHANGE BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-10",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "SPINKS",
        "authorized_official_first_name": "KIMESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-302-0801"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ATN620797",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ATN620799",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.