Transformation Mental Health Therapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRANSFORMATION MENTAL HEALTH THERAPY, PLLC

Practice address

2005 N Ironwood Pkwy Ste 120
Coeur D Alene, ID 83814-2647

Phone

(208) 704-0342

NPI assigned

Sep 11, 2023

Last updated

Mar 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Lynn Shelden, LCSWNPI 1083143382

Title

Owner/Therapist

Phone

(208) 704-0342

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Lynn Shelden, LCSW

  • Clinical Social Worker
  • Coeur d'Alene, ID
  • NPI 1083143382

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1033996236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N IRONWOOD PKWY STE 120",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142647",
            "telephone_number": "208-704-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N IRONWOOD PKWY STE 120",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142647",
            "telephone_number": "208-704-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION MENTAL HEALTH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "SHELDEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "208-704-0342",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolf Petter Tonseth, MD
• Marcus Jewell Torgenson, M.D.
• Michelle Torres
• Dane Tosland
• Baylee Towne
• Trauma and Recovery Counseling PLLC
• Travis D. Broughton (Disk and Spine Northwest)
• Brande Tremblay, PTA
• Susan K Trenkle, NP-C
• Mark Anthony Troiano

• Mental Health Counselor in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.