Changing Forward, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MT25589 Issued in FL

Legal business name

CHANGING FORWARD, LLC

Practice address

1040 Bayview Dr Ste 110
Fort Lauderdale, FL 33304-2532

Phone

(954) 800-0818

Fax

(954) 800-0910

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Aurelia Etka Bickler, PHD, LMFT

Title

President, Psychotherapist

Phone

(954) 684-6220

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Lancianese, LMFT

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
  • NPI 1942828868
  NPD (past)
• Mishelle Ortiz-Velez, LMFT

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
  • NPI 1871955294
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1992212328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 BAYVIEW DR STE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042532",
            "telephone_number": "954-800-0818",
            "fax_number": "954-800-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 BAYVIEW DR STE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042532",
            "telephone_number": "954-800-0818",
            "fax_number": "954-800-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING FORWARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "BICKLER",
        "authorized_official_first_name": "AURELIA",
        "authorized_official_middle_name": "ETKA",
        "authorized_official_title_or_position": "PRESIDENT, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "954-684-6220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT25589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Chandler, DC
• Dyan Chaney, DPT, MPT
• Stacey Chaney, M.S.
• Alicia Chang Libero, PHARMD
• Dylan Andrew Chang, RD
• Changing Tides Therapy
• Changing Vision Counseling Services Inc
• Hsuan Chao, OD
• Bryan Y Chaparro Mendez
• Shanna Chaples, OT

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.