Active NPI
Positive Change for You LLC
- Mental Health Counselor
- North Miami Beach, FL
National Provider Identifier
1992124424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Jacobs, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- North Miami Beach, FL
- NPI 1972921906
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.