Organization Active NPI

Life Transformation Counseling

  • Counselor
  • Wesley Chapel, FL
National Provider Identifier
1093122483
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMH 7823 Issued in FL
Legal business name
LIFE TRANSFORMATION COUNSELING
Practice address
29149 Chapel Park Dr
Wesley Chapel, FL 33543-4423
Phone
(813) 280-2474
Fax
(813) 341-5511
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Mrs. Natalie Sue West Southward
Title
Director and Head Counselor
Phone
(813) 280-2474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X IMH 7823 FL Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

29149 Chapel Park Dr
Wesley Chapel, FL 33543-4423

Mailing address

29149 Chapel Park Dr
Wesley Chapel, FL 33543-4423
Phone (813) 280-2474

National Provider Directory

National Provider Directory

Locations

3036 W Bearss Ave
Tampa, FL 33618

29149 Chapel Park Dr
Wesley Chapel, FL 33543
Phone (813) 280-2474

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": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1093122483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29149 CHAPEL PARK DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434423",
            "telephone_number": "813-280-2474",
            "fax_number": "813-341-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29149 CHAPEL PARK DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434423",
            "telephone_number": "813-280-2474",
            "fax_number": "813-341-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRANSFORMATION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "SOUTHWARD",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "SUE WEST",
        "authorized_official_title_or_position": "DIRECTOR AND HEAD COUNSELOR",
        "authorized_official_telephone_number": "813-280-2474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH 7823",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.