NPIMap

Organization Active NPI

Transforming Lives Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mammoth Spring, AR
National Provider Identifier
1477079325
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
P1069126 Issued in AR
Legal business name
TRANSFORMING LIVES COUNSELING LLC
Practice address
1355 Tate Ave
Mammoth Spring, AR 72554-8064
Phone
(870) 625-0273
Fax
(870) 625-0275
NPI assigned
Aug 22, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Frances M Smith, LPCNPI 1649437849
Title
President/Therapist
Phone
(870) 625-0273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 21

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

View all 21

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20200130000931 AR Part B Supplier - Clinic/Group Practice 4587090113 Receives reassigned benefits from 1 practitioner
Practice locations: Mammoth Spring, AR

National Provider Directory

National Provider Directory

Locations

1355 Tate Ave
Mammoth Spring, AR 72554
Phone (870) 625-0273

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X P1069126 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1355 Tate Ave
Mammoth Spring, AR 72554-8064

Mailing address

PO Box 1134
Mammoth Spring, AR 72554-1134
Phone (870) 625-0273

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2021.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1477079325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1134",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "725541134",
            "telephone_number": "870-625-0273",
            "fax_number": "870-625-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 TATE AVE",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "725548064",
            "telephone_number": "870-625-0273",
            "fax_number": "870-625-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMING LIVES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "870-625-0273",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "P1069126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mammoth Spring, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.