Organization Active NPI

Transformation Service PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1760217277
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TRANSFORMATION SERVICE PLLC
Practice address
522 W Riverside Ave Ste N
Spokane, WA 99201-0581
Phone
(206) 483-0994
Fax
(206) 483-0118
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Jasmyne LyonsNPI 1710303284
Title
Owner
Phone
(206) 483-0994

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Case Management Agency 251B00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

522 W Riverside Ave Ste N
Spokane, WA 99201-0581

Mailing address

2096 Rodman Blvd
Gallatin, TN 37066-4450
Phone (615) 438-1797

Other practice location 1

8401 35th Ave SW
Seattle, WA 98126-3601
Phone (206) 483-0994

Other practice location 2

804 Curtis Dr
Nashville, TN 37207-1302
Phone (206) 483-0994

Other practice location 3

2010 Caton Way SW Ste 202
Olympia, WA 98502-8201
Phone (206) 483-0994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241223001017 WA Part B Supplier - Clinic/Group Practice 1456888957 Receives reassigned benefits from 3 practitioners
Practice locations: Seattle, WA
O20250401002322 TN Part B Supplier - Clinic/Group Practice 1456888957 Receives reassigned benefits from 4 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

522 W Riverside Ave
Ste 8238
Spokane, WA 99201
Phone (206) 483-0994

Practitioners & affiliated clinicians

Practitioners 7

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": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1760217277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 RODMAN BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664450",
            "telephone_number": "615-438-1797",
            "fax_number": "206-483-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010581",
            "telephone_number": "206-483-0994",
            "fax_number": "206-483-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 35th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981263601",
            "country_code": "US",
            "telephone_number": "206-483-0994",
            "fax_number": "206-483-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 Curtis Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372071302",
            "country_code": "US",
            "telephone_number": "206-483-0994",
            "fax_number": "206-483-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Caton Way SW Ste 202",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028201",
            "country_code": "US",
            "telephone_number": "206-483-0994",
            "fax_number": "206-483-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMATION SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "JASMYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-483-0994"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.