NW Transformations Child and Family Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NW TRANSFORMATIONS CHILD AND FAMILY COUNSELING PLLC

Doing business as

NW Transformations Child and Family Counseling PLLC

Practice address

6402 57TH CT SE
Lacey, WA 98513-4159

Phone

(360) 970-8356

Fax

(360) 539-3332

NPI assigned

Aug 14, 2020

Last updated

Jan 25, 2021By 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

Ms. Bonnie M Edwards, LICSWNPI 1518347384

Title

Owner/Manager

Phone

(360) 634-9699

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NW Transformations Child and Family Counseling PLLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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.

• Bonnie Margaret Edwards, LICSW

  • Clinical Social Worker
  • Lacey, WA
  • NPI 1518347384
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1063023752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MARVIN RD NE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985163878",
            "telephone_number": "360-634-9699",
            "fax_number": "360-539-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 57TH CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985134159",
            "telephone_number": "360-970-8356",
            "fax_number": "360-539-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW TRANSFORMATIONS CHILD AND FAMILY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "360-634-9699",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518347384",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.nwtransformations.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "mailing address",
            "address_1": "6402 57th Ct SE",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985134159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NW Transformations Child and Family Counseling PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Traci Sue Nosko, LPN
• Kelsy Nowobilski
• Melissa Nunez, RN
• Janet Lynn Nunn, MD
• Nuru Therapeutic Options LLC
• John David O'Boyle, M.D.
• Claire O'Connor, M.S., CCC-SLP
• Mary Elizabeth O'Leary
• Jack O'Malley
• Karen O'Neill, PHARMD

• Professional Counselor in Lacey, WA
• Providers in Lacey, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.