Organization Active NPI

Transformation Takes Time Counseling Services LLC

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1205355898
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701006598 Issued in VA
Legal business name
TRANSFORMATION TAKES TIME COUNSELING SERVICES LLC
Practice address
5911 Willow Oaks Drive Apt E
Richmond, VA 23225-2428
Phone
(804) 277-7761
NPI assigned
Sep 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Yasim S Clark, LPC, CSOTP
Title
Licensed Mental Health Clinician
Phone
(804) 277-7761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 0701006598 VA Primary

Addresses

Primary practice location

5911 Willow Oaks Drive Apt E
Richmond, VA 23225-2428

Mailing address

5911 Willow Oaks Dr Apt E
Richmond, VA 23225-2428
Phone (804) 277-7761

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205355898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 WILLOW OAKS DR APT E",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252428",
            "telephone_number": "804-277-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 WILLOW OAKS DRIVE APT E",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252428",
            "telephone_number": "804-277-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION TAKES TIME COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "YASIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "804-277-7761",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, CSOTP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.