House of Transformation Therapy Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HOUSE OF TRANSFORMATION THERAPY SERVICES

Practice address

524 Cora PL
Hartville, OH 44632-8902

Phone

(330) 631-1319

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Patricia K Sullivan, LPCC-S, LICDCNPI 1033653647

Title

Owner

Phone

(330) 631-1319

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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.

• Patricia Kaye Sullivan, MA, LPCC-S, LICDC

  • Professional Counselor
  • Hartville, OH
  • NPI 1033653647

  Addiction (Substance Use Disorder), OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707523200000",
    "number": "1679334189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 CORA PL",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446328902",
            "telephone_number": "330-631-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CORA PL",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446328902",
            "telephone_number": "330-631-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF TRANSFORMATION THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-631-1319",
        "authorized_official_credential": "LPCC-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Indorf, APRN CNP
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• Meredith Lorraine Jones-Newhouse, D.C.
• Joseph P. Belloni, DC, Inc.
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• All providers in Hartville, OH
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.