POSITIVE CHANGE MENTAL HEALTH LLC
NPI 1033462163
Psychologist - Counseling in Jacksonville, FL

Active since October 26, 2012
6620 SOUTHPOINT DR S STE 450F, JACKSONVILLE, FL 32216(904) 383-7352 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Positive Change Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POSITIVE CHANGE MENTAL HEALTH LLC (NPI 1033462163) is a healthcare organization registered as a counseling in Jacksonville, Florida and active in the NPI registry since October 2012. The organization lists Paul Daniel Knabb, Owner, as its authorized official.

NPPES Registry Identity

NPI1033462163
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NamePOSITIVE CHANGE MENTAL HEALTH LLC
Location Address6620 SOUTHPOINT DR S STE 450FJacksonville, FL 32216-0912
Mailing Address9771 Riddle RdJacksonville, FL 32220-1919 · (904) 383-7352 · Fax (904) 404-7740
Organization SubpartNo
Authorized OfficialPaul Daniel KnabbOwner · (904) 383-7352
Enumeration DateOctober 26, 2012
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1033462163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in FL · PY8463
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
6620 SOUTHPOINT DR S STE 450F, Jacksonville, FL 32216

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Positive Change Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Positive Change Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1528317203
6620 SOUTHPOINT DR S STE 450F
Jacksonville, FL 32216
(904) 383-7352
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Positive Change Mental Health LLC's NPI number?

The NPI number for Positive Change Mental Health LLC is 1033462163. It was assigned to this organization in the NPPES registry on October 26, 2012.

Where is Positive Change Mental Health LLC located?

Positive Change Mental Health LLC is located at 6620 Southpoint Dr S Ste 450F, Jacksonville, FL 32216. The listed phone number is (904) 383-7352.

What is Positive Change Mental Health LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Positive Change Mental Health LLC enrolled in Medicare?

Yes. Positive Change Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Positive Change Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Positive Change Mental Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Positive Change Mental Health LLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.