Organization Active NPI

Transforming Lives Therapy PLLC

  • Mental Health Counselor
  • Richardson, TX
National Provider Identifier
1487276598
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRANSFORMING LIVES THERAPY PLLC
Practice address
1202 Richardson Dr Ste 310
Richardson, TX 75080-4411
Phone
(469) 409-1212
NPI assigned
May 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Shelly BatesNPI 1700244522
Title
Owner
Phone
(469) 409-1212

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

1202 Richardson Dr Ste 310
Richardson, TX 75080-4411

Mailing address

120 East FM 544 Ste 72; PMB 153
Murphy, TX 75094

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shelly@butterflyeffectccc.com

National Provider Directory

National Provider Directory

Locations

1202 Richardson Dr
Ste 310
Richardson, TX 75080
Phone (469) 409-1212

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": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1487276598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST FM 544 STE 72; PMB 153",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "75094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 RICHARDSON DR STE 310",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804411",
            "telephone_number": "469-409-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMING LIVES THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-409-1212"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelly@butterflyeffectccc.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "address_1": "1202 Richardson Dr Ste 310",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750804411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.