Organization Active NPI

Transformation Counseling LLC

  • Professional Counselor
  • State College, PA
National Provider Identifier
1164726964
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002386 Issued in PA
Legal business name
TRANSFORMATION COUNSELING LLC
Doing business as
Transformation Counseling
Practice address
1221 W Whitehall Rd
1221 A
State College, PA 16801-2627
Phone
(972) 757-4673
Fax
(814) 237-2777
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Mr. Timothy Craig Evans, LPC, CAADC, MAC, NCCNPI 1275644056
Title
Owner/Therapist
Phone
(972) 757-4673

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 7252 PA
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC002386 PA Primary

Addresses

Primary practice location

1221 W Whitehall Rd
1221 A
State College, PA 16801-2627

Mailing address

1221 W Whitehall Rd
Alliance Building
State College, PA 16801-2627
Phone (972) 757-4673

Other names 1

  • Transformation Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1221 W Whitehall Rd
#1221A
State College, PA 16801
Phone (972) 757-4673

1221 W Whitehall Rd
State College, PA 16801
Phone (972) 757-4673

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": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1164726964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W WHITEHALL RD",
            "address_2": "ALLIANCE BUILDING",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012627",
            "telephone_number": "972-757-4673",
            "fax_number": "814-237-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W WHITEHALL RD",
            "address_2": "1221 A",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012627",
            "telephone_number": "972-757-4673",
            "fax_number": "814-237-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "972-757-4673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, CAADC, MAC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "7252",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformation Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.