Transformation Counseling & Consulting

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRANSFORMATION COUNSELING & CONSULTING

Practice address

3041 Berks Way Ste 102C
Raleigh, NC 27614-6777

Phone

(919) 925-2274

Fax

(919) 820-8571

NPI assigned

Nov 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Janeen Wallace, LCMHCNPI 1154820868

Title

Owner/Ceo

Phone

(919) 306-2579

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 5

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

• Nicole Janeen Wallace, LCMHC

  • Professional Counselor
  • Raleigh, NC
  • NPI 1154820868

  Single Specialty

  NPD Authorized official
• Sydney Hart, LCSW-A

  • Clinical Social Worker
  • Waynesville, NC
  • NPI 1366104663
  NPD (past)
• Linda Martinez-Cervantes

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1346097128
  NPD (past)
• Kiswanna Muse

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1487414629
  NPD (past)
• Ladonn Woodson, MSW, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1609552439
  NPD (past)

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1689274292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275880627",
            "telephone_number": "919-306-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 BERKS WAY STE 102C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146777",
            "telephone_number": "919-925-2274",
            "fax_number": "919-820-8571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7906 Hogan Dr",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275876659",
            "country_code": "US",
            "telephone_number": "919-306-2579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMATION COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "JANEEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-306-2579",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC"
    },
    "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": "nwallace@therapyemail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7906 Hogan Dr",
            "city": "Wake Forest",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275876659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luan Tran, MD
• Minh Tu Dang Tran, MD
• Nhan Quang Tran, PHARMD, RPH
• Tranquil Transitions Counseling & Consulting PLLC
• Transcending Limits Counseling Services PLLC
• Transformative Destiny PLLC
• Transformative Health and Wellness, PLLC
• Transformative Health and Wellness, PLLC
• Transformative Psychiatry PLLC
• Transformative Psychiatry PLLC

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.