The Transformation Collective LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

THE TRANSFORMATION COLLECTIVE LLC

Practice address

1154 Riverside Ave Unit 5
Somerset, MA 02726-2841

Phone

(800) 735-8951

NPI assigned

May 31, 2024

Organization subpart

No

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

Authorized official

Name

Mary C Obrien

Title

Owner

Phone

(800) 735-8951

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Mary Clare O'Brien, MSP

  • Mental Health Counselor
  • Fall River, MA
  • NPI 1689075913
  Medicare reassignment NPD

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1619717089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HORNBINE RD",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773618",
            "telephone_number": "800-735-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 RIVERSIDE AVE UNIT 5",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027262841",
            "telephone_number": "800-735-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRANSFORMATION COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-735-8951"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Sullivan, LMHC
• Brady William Sunderland
• Kelsey Swanson
• Jessica Tavares
• The Stop & Shop Supermarket Compnay, LLC (Stop and Shop Pharmacy #421)
• James M Theriault
• Thomas G. Clark OD PC
• Francis S. Tobia, D.C.
• Town of Somerset
• Town of Somerset

• Counselor in Somerset, MA
• Providers in Somerset, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.