Organization Active NPI

Therapeutic Transformations LLC

  • Community/Behavioral Health Agency
  • Bardstown, KY
National Provider Identifier
1639682909
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THERAPEUTIC TRANSFORMATIONS LLC
Practice address
175 E John Rowan Blvd
Bardstown, KY 40004-1770
Phone
(270) 234-6695
NPI assigned
Nov 9, 2017
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Cassady Cobb, LCSWNPI 1487028544
Title
Owner
Phone
(270) 234-6695

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

175 E John Rowan Blvd
Bardstown, KY 40004-1770

Mailing address

PO Box 180
Hodgenville, KY 42748-0180
Phone (270) 234-6695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180406002425 KY Part B Supplier - Clinic/Group Practice 5092078964 Receives reassigned benefits from 8 practitioners
Practice locations: Bardstown, KY

National Provider Directory

National Provider Directory

Locations

175 E John Rowan Blvd
Bardstown, KY 40004
Phone (270) 234-6695

970 Bloomfield Rd
Bardstown, KY 40004
Phone (270) 209-2124

Practitioners & affiliated clinicians

Practitioners 8

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": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1639682909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427480180",
            "telephone_number": "270-234-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E JOHN ROWAN BLVD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041770",
            "telephone_number": "270-234-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC TRANSFORMATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "CASSADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-234-6695",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.