Mental Health Transformations LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENTAL HEALTH TRANSFORMATIONS LLC

Practice address

324 N 2ND St
Flagler Beach, FL 32136-3343

Phone

(386) 530-5158

Fax

(386) 693-4081

NPI assigned

Aug 8, 2019

Last updated

Aug 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Korin A Menard, LMHC, RBT, MANPI 1255881371

Title

Owner

Phone

(386) 530-5158

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Korin Adel Menard, LMHC, RBT, MA

  • Mental Health Counselor
  • Flagler Beach, FL
  • NPI 1255881371
  NPD Authorized official

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596931200000",
    "number": "1467007179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N 2ND ST",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363343",
            "telephone_number": "386-530-5158",
            "fax_number": "386-693-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N 2ND ST",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363343",
            "telephone_number": "386-530-5158",
            "fax_number": "386-693-4081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Secretary Trl",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321644405",
            "country_code": "US",
            "telephone_number": "386-530-5158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL HEALTH TRANSFORMATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "KORIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-530-5158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, RBT, MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Burke March, RD, CDE, LD/N
• Brandon Markovitz
• James Robert McCall, A.P
• Millicent Cade McKoin, MOTR/L; MPT
• Korin Adel Menard, LMHC, RBT, MA
• Diane Neighmond
• Tina Hieu Nguyen
• Gertrude Morgan Nordmeier, LMHC
• Oceanshore Family Medical Center, PLLC
• Oceanside Injury Physicians

• Mental Health Counselor in Flagler Beach, FL
• Providers in Flagler Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; 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.