NPIMap

Organization Active NPI

Therapeutic Transformation, LLC

  • Mental Health Counselor
  • Monroe, LA
National Provider Identifier
1316408693
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAPEUTIC TRANSFORMATION, LLC
Practice address
700 University Ave # 105
Monroe, LA 71209-9000
Phone
(318) 237-9948
Fax
(318) 325-8749
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Aletha A Nelson, LPC-SNPI 1457764862
Title
Licensed Professional Counselor
Phone
(318) 237-9948

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 1

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

Addresses

Primary practice location

700 University Ave # 105
Monroe, LA 71209-9000

Mailing address

700 University Ave # 105
Monroe, LA 71209-9000
Phone (318) 237-9948

Other identifiers 1

IdentifierTypeStateIssuer
5010426MedicaidLA

National Provider Directory

National Provider Directory

Locations

700 University Ave
#105
Monroe, LA 71209
Phone (318) 237-9948

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1316408693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY AVE # 105",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712099000",
            "telephone_number": "318-237-9948",
            "fax_number": "318-325-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY AVE # 105",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712099000",
            "telephone_number": "318-237-9948",
            "fax_number": "318-325-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC TRANSFORMATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ALETHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "318-237-9948",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5010426",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.