Transfrom Behavioral Health Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRANSFROM BEHAVIORAL HEALTH SERVICES

Practice address

4889 Sinclair Rd Ste 104
Columbus, OH 43229-5433

Phone

(415) 294-1754

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Joshua S Jonassaint, LSW

Title

Social Worker

Phone

(919) 219-1754

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TransFrom Behavioral Health Services Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1053087973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 OAK ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051140",
            "telephone_number": "919-219-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 SINCLAIR RD STE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295433",
            "telephone_number": "415-294-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFROM BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "JONASSAINT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "919-219-1754",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSW",
            "identifier": "S.1601164",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://gordonlegacy.com/",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Gordon Legacy LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4889 Sinclair Rd Ste 104",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432295433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TransFrom Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Columbus, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.