NPIMap

Organization Active NPI

Specialized Transformation

  • Professional Counselor
  • Grand Prairie, TX
National Provider Identifier
1235495607
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64618 Issued in TX
Legal business name
SPECIALIZED TRANSFORMATION
Practice address
2305 Corn Valley Rd
230-4B
Grand Prairie, TX 75051-8804
Phone
(800) 601-9519
Fax
(866) 326-6765
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Tanisha Guy
Title
Onwers
Phone
(800) 601-9519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 64618 TX Primary

Addresses

Primary practice location

2305 Corn Valley Rd
230-4B
Grand Prairie, TX 75051-8804

Mailing address

2305 Corn Valley Rd
230-4B
Grand Prairie, TX 75051-8804
Phone (800) 601-9519

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1235495607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CORN VALLEY RD",
            "address_2": "230-4B",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518804",
            "telephone_number": "800-601-9519",
            "fax_number": "866-326-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CORN VALLEY RD",
            "address_2": "230-4B",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518804",
            "telephone_number": "800-601-9519",
            "fax_number": "866-326-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED TRANSFORMATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "ONWERS",
        "authorized_official_telephone_number": "800-601-9519"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.