Organization Active NPI

Positive Change for You LLC

  • Mental Health Counselor
  • North Miami Beach, FL
National Provider Identifier
1992124424
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11761 Issued in FL
Legal business name
POSITIVE CHANGE FOR YOU LLC
Practice address
17027 W Dixie Hwy
Suite 125
North Miami Beach, FL 33160-3734
Phone
(786) 449-8428
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Danielle Jacobs, LMHCNPI 1972921906
Title
Manager
Phone
(786) 449-8428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH11761 FL Primary

Addresses

Primary practice location

17027 W Dixie Hwy
Suite 125
North Miami Beach, FL 33160-3734

Mailing address

19999 E Country Club Dr
Apt 307
Aventura, FL 33180-3081
Phone (786) 449-8428

Other names 1

  • PCFY Doing business as

National Provider Directory

National Provider Directory

Locations

17027 W Dixie Hwy
Ste 125
North Miami Beach, FL 33160
Phone (784) 449-8428

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": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1992124424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19999 E COUNTRY CLUB DR",
            "address_2": "APT 307",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803081",
            "telephone_number": "786-449-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17027 W DIXIE HWY",
            "address_2": "SUITE 125",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331603734",
            "telephone_number": "786-449-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGE FOR YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-449-8428",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCFY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.