Organization Active NPI

Transformative Grief Counseling, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gardendale, AL
National Provider Identifier
1700629755
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRANSFORMATIVE GRIEF COUNSELING, LLC.
Practice address
415 Creekview Circle
Telehealth Only
Gardendale, AL 35071-3659
Phone
(205) 693-9039
Fax
(205) 631-2566
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Vevelyn Peterson Wilson, LICSWNPI 1831947746
Title
Owner
Phone
(205) 693-9039

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

415 Creekview Circle
Telehealth Only
Gardendale, AL 35071-3659

Mailing address

PO Box 235
Gardendale, AL 35071-0235
Phone (205) 693-9039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240722002856 AL Part B Supplier - Clinic/Group Practice 1153867551 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

712 18th St Ensley
Birmingham, AL 35218
Phone (205) 693-9039

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": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1700629755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350710235",
            "telephone_number": "205-693-9039",
            "fax_number": "205-631-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CREEKVIEW CIRCLE",
            "address_2": "TELEHEALTH ONLY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713659",
            "telephone_number": "205-693-9039",
            "fax_number": "205-631-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE GRIEF COUNSELING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "VEVELYN",
        "authorized_official_middle_name": "PETERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-693-9039",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.