NPIMap

Organization Active NPI

Transforming Lives Counseling Service, LLC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1023529385
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRANSFORMING LIVES COUNSELING SERVICE, LLC
Practice address
5585 Pershing Ave # 130
Saint Louis, MO 63112-4621
Phone
(314) 368-6265
Fax
(314) 261-5013
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Ms. Roshanda Lynette Neal, LPCNPI 1578994562
Title
Owner
Phone
(314) 368-6265

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X
Poetry TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 102X00000X

Addresses

Primary practice location

5585 Pershing Ave # 130
Saint Louis, MO 63112-4621

Mailing address

5585 Pershing Ave Ste 130
Saint Louis, MO 63112-1850
Phone (314) 368-6265

National Provider Directory

National Provider Directory

Locations

5585 Pershing Ave
Ste 130
Saint Louis, MO 63112
Phone (314) 368-6265

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": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1023529385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 PERSHING AVE STE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121850",
            "telephone_number": "314-368-6265",
            "fax_number": "314-328-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 PERSHING AVE # 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631124621",
            "telephone_number": "314-368-6265",
            "fax_number": "314-261-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMING LIVES COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ROSHANDA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-368-6265",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.