Organization Active NPI

Transitions of Life Services

  • Clinical Social Worker
  • Lancaster, TX
National Provider Identifier
1467046193
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRANSITIONS OF LIFE SERVICES
Practice address
1315 Vermont Ave
Lancaster, TX 75134-1692
Phone
(682) 558-5431
Fax
(214) 396-1186
NPI assigned
Feb 23, 2021
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Mrs. Charisse Huey, LCSW-SNPI 1366890352
Title
Psychotherapist
Phone
(682) 558-5431

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

1315 Vermont Ave
Lancaster, TX 75134-1692

Mailing address

1315 Vermont Ave
Lancaster, TX 75134-1692
Phone (682) 558-5431

Other practice location 1

2743 Kenedy Ln
Grand Prairie, TX 75052-0735
Phone (817) 235-8869

Other practice location 2

525 W Pleasant Run Rd Ste 400
Lancaster, TX 75146-1576
Phone (682) 558-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401001378 TX Part B Supplier - Clinic/Group Practice 5698182921 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, TX

National Provider Directory

National Provider Directory

Locations

525 W Pleasant Run Rd
Ste 100
Lancaster, TX 75146
Phone (682) 441-4147

525 W Pleasant Run Rd
Ste 400
Lancaster, TX 75146
Phone (682) 558-5431

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1467046193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 VERMONT AVE",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751341692",
            "telephone_number": "682-558-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 VERMONT AVE",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751341692",
            "telephone_number": "682-558-5431",
            "fax_number": "214-396-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2743 Kenedy Ln",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750520735",
            "country_code": "US",
            "telephone_number": "817-235-8869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W Pleasant Run Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "TX",
            "postal_code": "751461576",
            "country_code": "US",
            "telephone_number": "682-558-5431",
            "fax_number": "214-396-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSITIONS OF LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "682-558-5431",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.