Active NPI
The Transformation Specialists LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flossmoor, IL
National Provider Identifier
1255954780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- THE TRANSFORMATION SPECIALISTS LLC
- Practice address
- 813 Ash St
Flossmoor, IL 60422-2213 - Phone
- (708) 381-1170
- NPI assigned
- May 19, 2020
- Last updated
- Jul 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Beryl J Armstrong, LCPC
- Title
- Managing Partner
- Phone
- (708) 381-1170
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
813 Ash St
Flossmoor, IL 60422-2213
Mailing address
813 Ash St
Flossmoor, IL 60422-2213
Phone (708) 381-1170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180010704 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Richton Park, IL
- NPI 1801463104
-
- Addiction (Substance Use Disorder) Counselor
- Chicago, IL
- NPI 1962158287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626393600000",
"number": "1255954780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 ASH ST",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222213",
"telephone_number": "708-381-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 ASH ST",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222213",
"telephone_number": "708-381-1170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE TRANSFORMATION SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-19",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A",
"authorized_official_last_name": "ARMSTRONG",
"authorized_official_first_name": "BERYL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "708-381-1170",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180010704",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.