Transformation Therapeutic Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5299 Issued in OK

Legal business name

TRANSFORMATION THERAPEUTIC COUNSELING SERVICES, LLC

Practice address

316 S Hayes Ave Ste D
Wagoner, OK 74467-5531

Phone

(918) 698-7134

Fax

(918) 485-4317

NPI assigned

Jan 15, 2018

Last updated

Jan 15, 2018By 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

Melissa Ann McDaris, LPC, LADCNPI 1700915337

Title

Therapist/Owner

Phone

(918) 698-7134

Specialties & licenses 1

Addresses

Other identifiers 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.

• Melissa Ann McDaris, BA

  • Addiction (Substance Use Disorder) Counselor
  • Wagoner, OK
  • NPI 1700915337
  NPD Authorized official

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1154839983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S HAYES AVE STE D",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744675531",
            "telephone_number": "918-698-7134",
            "fax_number": "918-485-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S HAYES AVE STE D",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744675531",
            "telephone_number": "918-698-7134",
            "fax_number": "918-485-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION THERAPEUTIC COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "MCDARIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "918-698-7134",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700915337",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.