Organization Active NPI

Transcendent Telemedicine Practice LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond Heights, OH
National Provider Identifier
1720690050
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TRANSCENDENT TELEMEDICINE PRACTICE LLC
Practice address
5241 Wilson Mills Rd Ste 35C
Richmond Heights, OH 44143-2150
Phone
(440) 221-2449
Fax
(440) 448-4912
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Ms. Lashelle Henderson, MSN,FNP-BC, PMHNP-BCNPI 1831302264
Title
Ceo
Phone
(216) 233-1983

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5241 Wilson Mills Rd Ste 35C
Richmond Heights, OH 44143-2150

Mailing address

5241 Wilson Mills Rd Ste 35C
Richmond Heights, OH 44143-2150
Phone (440) 221-2449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201223001529 OH Part B Supplier - Clinic/Group Practice 4587076112 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond Heights, OH

National Provider Directory

National Provider Directory

Locations

5241 Wilson Mills Rd
#35C
Richmond Heights, OH 44143
Phone (440) 221-2449

5241 Wilson Mills Rd
Ste 35C
Richmond Heights, OH 44143
Phone (210) 333-0733

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1720690050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 WILSON MILLS RD STE 35C",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432150",
            "telephone_number": "440-221-2449",
            "fax_number": "440-448-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 WILSON MILLS RD STE 35C",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432150",
            "telephone_number": "440-221-2449",
            "fax_number": "440-448-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDENT TELEMEDICINE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LASHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-233-1983",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN,FNP-BC, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.