Transformation Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TRANSFORMATION COUNSELING

Practice address

339 SW Century Dr Ste 201
Bend, OR 97702-1338

Phone

(541) 508-9354

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Eileen Jewell Fagan, LPCNPI 1285977553

Title

Partner/Owner

Phone

(541) 508-9354

Specialties & licenses 1

Addresses

Practitioners 1

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

• Eileen Jewell Fagan, MS, NCC

  • Professional Counselor
  • Bend, OR
  • NPI 1285977553
  NPD Authorized official

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1366098261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 SW REINDEER AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977567953",
            "telephone_number": "541-508-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 SW CENTURY DR STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021338",
            "telephone_number": "541-508-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "JEWELL",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "541-508-9354",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trailhead Counseling Collective
• Training Station PT
• Alice Dang Tran, MD
• Sherry Tran, LMT
• Tracy Tranchitella, ND
• Stephanie Trask
• Andrew Traut, ATC
• Matthew Joseph Trautman, PA-C
• Stephanie Alice Trautman, MD
• Naomi Miriam Trautmann, LPCA

• Professional Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.