NPIMap

Organization Active NPI

Transforming Hearts, LLC

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1154885366
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRANSFORMING HEARTS, LLC
Practice address
700 Monticello Ave Ste 350
Norfolk, VA 23510-2529
Phone
(757) 937-9915
Fax
(757) 299-0833
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Nicole Harris, EDD, LPC, LSATPNPI 1932699949
Title
Executive Director/Therapist
Phone
(757) 537-5289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

700 Monticello Ave Ste 350
Norfolk, VA 23510-2529

Mailing address

700 Monticello Ave Ste 350
Norfolk, VA 23510-2529
Phone (757) 937-9915

Other practice location 1

1609 Basie Cres
Portsmouth, VA 23701-3956
Phone (757) 537-5289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240123001567 VA Part B Supplier - Clinic/Group Practice 8820440100 Receives reassigned benefits from 3 practitioners
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

900 Granby St
Ste 242
Norfolk, VA 23510
Phone (757) 756-5290

700 Monticello Ave
Ste 350
Norfolk, VA 23510
Phone (757) 937-9915

Practitioners & affiliated clinicians

Practitioners 4

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": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1154885366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MONTICELLO AVE STE 350",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102529",
            "telephone_number": "757-937-9915",
            "fax_number": "757-299-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MONTICELLO AVE STE 350",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102529",
            "telephone_number": "757-937-9915",
            "fax_number": "757-299-0833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 Basie Cres",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237013956",
            "country_code": "US",
            "telephone_number": "757-537-5289",
            "fax_number": "757-299-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMING HEARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "757-537-5289",
        "authorized_official_credential": "EDD, LPC, LSATP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.