Organization Active NPI

Transform Mental Health PLLC

  • Community/Behavioral Health Agency
  • Lutz, FL
National Provider Identifier
1033919121
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRANSFORM MENTAL HEALTH PLLC
Practice address
26650 Wesley Chapel Blvd
Lutz, FL 33559-7203
Phone
(813) 597-1313
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Dr. Johanna Tran, MDNPI 1043372147
Title
Owner
Phone
(813) 597-1313

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
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

26650 Wesley Chapel Blvd
Lutz, FL 33559-7203

Mailing address

12207 Stonelake Ranch Blvd
Thonotosassa, FL 33592-3910
Phone (813) 597-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326003160 FL Part B Supplier - Clinic/Group Practice 5799260816 Receives reassigned benefits from 4 practitioners
Practice locations: Lutz, FL

National Provider Directory

National Provider Directory

Locations

26650 Wesley Chapel Blvd
Lutz, FL 33559
Phone (813) 597-1313

Practitioners & affiliated clinicians

Practitioners 5

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": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1033919121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 STONELAKE RANCH BLVD",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335923910",
            "telephone_number": "813-597-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26650 WESLEY CHAPEL BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597203",
            "telephone_number": "813-597-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORM MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-597-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.