Transformational Connections Counseling & Consulting

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TRANSFORMATIONAL CONNECTIONS COUNSELING & CONSULTING

Practice address

3420 W Foster Ave Ste a
Chicago, IL 60625-6971

Phone

(734) 212-2522

NPI assigned

Sep 27, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shedeh Tavakoli, PH.D., LCPC, CRCNPI 1164743936

Title

Provider

Phone

(734) 212-2522

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shedeh Tavakoli, PH.D.

  • Professional Counselor
  • Chicago, IL
  • NPI 1164743936
  NPD Authorized official

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1003634155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 W DAKIN ST UNIT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183101",
            "telephone_number": "248-736-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W FOSTER AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256971",
            "telephone_number": "734-212-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONAL CONNECTIONS COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "TAVAKOLI",
        "authorized_official_first_name": "SHEDEH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "734-212-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCPC, CRC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.