Transformative Effects LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2014008259 Issued in MO

Legal business name

TRANSFORMATIVE EFFECTS LLC

Practice address

410C SE 3Rd St Ste 108
Lees Summit, MO 64063-2849

Phone

(660) 530-3086

Fax

(660) 530-3086

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Kyle Altenderfer

Title

Business Director

Phone

(660) 530-3086

Specialties & licenses 1

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ellen Beegle, D.O.

  • Psychiatry Physician
  • Sedalia, MO
  • NPI 1659488419
  NPD (past)
• Ursula L Fuller, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Osceola, MO
  • NPI 1568454783
  NPD (past)
• Jagpal S Gosal, MD

  • Psychiatry Physician
  • Blue Springs, MO
  • NPI 1669457743
  NPD (past)
• Tiffany Suzanne Martin, L.C.S.W.

  • Clinical Social Worker
  • Sedalia, MO
  • NPI 1457686990
  NPD (past)
• Pamela L. Sisk, APRN, BC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Blue Springs, MO
  • NPI 1821061250
  NPD (past)
• Julie Marie Richardson, L.S.C.S.W.

  • Clinical Social Worker
  • Leawood, KS
  • NPI 1790709319
  NPD (past)

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1104296193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410C SE 3RD ST STE 108",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632849",
            "telephone_number": "660-530-3086",
            "fax_number": "660-530-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410C SE 3RD ST STE 108",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632849",
            "telephone_number": "660-530-3086",
            "fax_number": "660-530-3086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 W 11th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653015159",
            "country_code": "US",
            "telephone_number": "660-530-3086",
            "fax_number": "660-530-3086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 NE Chipman Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640632404",
            "country_code": "US",
            "telephone_number": "660-530-3086",
            "fax_number": "660-530-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMATIVE EFFECTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "ALTENDERFER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "660-530-3086"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014008259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Tracy, LPC
• Matthew T Tracy, PHARMD
• Lynn Tran, PHARM.D
• Nhuha Tran
• Tracy Tran, MD
• Jessica Traxler, M.D.
• Kimberly Nicole Traylor, PTA
• Morgan Lee Treloar, M.S., CCC-SLP
• David Alan Tribble, D.C.
• Kathleen M Tribble, MSW

• Clinical Social Worker in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.