Organization Active NPI

Transform Your Life Counseling, LLC

  • Clinical Social Worker
  • Camp Hill, PA
National Provider Identifier
1730982497
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRANSFORM YOUR LIFE COUNSELING, LLC
Practice address
205 Grandview Ave Ste 200B
Camp Hill, PA 17011-1745
Phone
(717) 210-8725
NPI assigned
Mar 28, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Sarah Joy Kushnir, LCSWNPI 1558927731
Title
Owner
Phone
(717) 210-8725

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

205 Grandview Ave Ste 200B
Camp Hill, PA 17011-1745

Mailing address

205 Grandview Ave Ste 200B
Camp Hill, PA 17011-1745
Phone (717) 210-8725

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250509002411 PA Part B Supplier - Clinic/Group Practice 6204353410 Receives reassigned benefits from 1 practitioner
Practice locations: Camp Hill, PA

National Provider Directory

National Provider Directory

Locations

205 Grandview Ave
Ste 200B
Camp Hill, PA 17011
Phone (717) 205-2332

Practitioners & affiliated clinicians

Practitioners 2

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": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1730982497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE STE 200B",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111745",
            "telephone_number": "717-210-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE STE 200B",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111745",
            "telephone_number": "717-210-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORM YOUR LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "KUSHNIR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-210-8725",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.