Transformative Vision

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TRANSFORMATIVE VISION

Practice address

227 W 4TH St Ste 321
Charlotte, NC 28202-1545

Phone

(704) 879-1179

NPI assigned

Oct 30, 2018

Organization subpart

Yes

Parent organization

TRANSFORMATIVE VISION PLLCAs reported in NPPES

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

Authorized official

Name

Jacqueline Bush, LMFT, BC-TMHNPI 1073012647

Title

Clinical Director

Phone

(704) 879-1179

Specialties & licenses 4

Addresses

Part of

Transformative Vision PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Transformative Vision PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1952923039
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Bush, LMFT, BC-TMH

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1073012647
  NPD Authorized official

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1255808036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82406",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708842406",
            "telephone_number": "704-879-1179",
            "fax_number": "704-490-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W 4TH ST STE 321",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021545",
            "telephone_number": "704-879-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10202 Perkins Rowe Ste E160",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708102067",
            "country_code": "US",
            "telephone_number": "704-879-1179",
            "fax_number": "704-490-4274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMATIVE VISION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSFORMATIVE VISION PLLC",
        "enumeration_date": "2018-10-30",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-879-1179",
        "authorized_official_credential": "LMFT, BC-TMH"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transformation Interactive Services Inc
• Transformative Care Homes, LLC
• Transformative Care LLC
• Transformative Counseling and Wellness Solutions, PLLC
• Transformative Life Center, LLC.
• Transformative Vision PLLC
• Transit Consortium of South Carolina, LLC
• Transitional Pathways, PLLC
• Transitional Seasons, LLC
• Transitions Service Center Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.