NPIMap

Organization Active NPI

Transformation in Color, LLC

  • Professional Counselor
  • Lanham, MD
National Provider Identifier
1780351890
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRANSFORMATION IN COLOR, LLC
Practice address
4200 Forbes Blvd Ste 208
Lanham, MD 20706-4823
Phone
(240) 709-6557
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Mrs. Da'Keisha Molique Johnson, MA, LCPC, ACS, CGPNPI 1487126132
Title
Counselor
Phone
(240) 709-6557

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X

Addresses

Primary practice location

4200 Forbes Blvd Ste 208
Lanham, MD 20706-4823

Mailing address

PO Box 1519
Temple Hills, MD 20757-1519
Phone (240) 709-6557

National Provider Directory

National Provider Directory

Locations

4200 Forbes Blvd
Ste 208
Lanham, MD 20706
Phone (240) 709-6557

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": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1780351890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1519",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207571519",
            "telephone_number": "240-709-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 208",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064823",
            "telephone_number": "240-709-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION IN COLOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DA'KEISHA",
        "authorized_official_middle_name": "MOLIQUE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "240-709-6557",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCPC, ACS, CGP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.