Transformative Pathways LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRANSFORMATIVE PATHWAYS LLC

Practice address

222 South Market Street
Suite 104
Elizabethtown, PA 17022

Phone

(717) 779-6639

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Anne Walheim, LPCNPI 1669811709

Title

Outpatient Therapist/Co Owner

Phone

(717) 779-6639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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

• Kimberly A Walheim, LPC

  • Professional Counselor
  • Elizabethtown, PA
  • NPI 1669811709
  Medicare reassignment Care Compare group NPD Authorized official
• Michele Marie Heffner, MS, LPC

  • Mental Health Counselor
  • Elizabethtown, PA
  • NPI 1013421676
  Medicare reassignment Care Compare group NPD
• Dana R Keener, PSY.D.

  • Clinical Psychologist
  • Elizabethtown, PA
  • NPI 1548255607
  NPD (past)

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1760108021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SOUTH MARKET STREET",
            "address_2": "SUITE 104",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "17022",
            "telephone_number": "717-779-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTH MARKET STREET",
            "address_2": "SUITE 104",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "17022",
            "telephone_number": "717-779-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "WALHEIM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST/CO OWNER",
        "authorized_official_telephone_number": "717-779-6639",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Thompson, RN
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• Daniel Christopher Totten
• Madison Trautman, RDH
• Treehouse Counseling LLC
• Clair Dale Treese, D.D.S.
• Jonathan Triantafyllou, M.D.
• Carolyn Troelsch

• Mental Health Counselor in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.