NPIMap

Organization Active NPI

Brave Changes, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, WI
National Provider Identifier
1972339935
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRAVE CHANGES, LLC
Doing business as
Brave Changes, LLC
Practice address
7250 S Ballpark Dr Apt 106
Franklin, WI 53132-7026
Phone
(414) 666-4211
NPI assigned
Sep 9, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Lori-Ana GuillenNPI 1366127714
Title
LCSW
Phone
(414) 666-4211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

7250 S Ballpark Dr Apt 106
Franklin, WI 53132-7026

Mailing address

7250 S Ballpark Dr Apt 106
Franklin, WI 53132-7026
Phone (414) 666-4211

Other names 1

  • Brave Changes, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1972339935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 S BALLPARK DR APT 106",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327026",
            "telephone_number": "414-666-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 S BALLPARK DR APT 106",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327026",
            "telephone_number": "414-666-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE CHANGES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "GUILLEN",
        "authorized_official_first_name": "LORI-ANA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "414-666-4211"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brave Changes, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.