Organization Active NPI

Centre for Transitional Change LLC

  • Professional Counselor
  • Woodstock, GA
National Provider Identifier
1831883040
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CENTRE FOR TRANSITIONAL CHANGE LLC
Practice address
225 Creekstone RDG Ste 2
Woodstock, GA 30188-3744
Phone
(470) 546-8346
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Andrea King, LPCNPI 1487719548
Title
Owner
Phone
(470) 546-8346

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

225 Creekstone RDG Ste 2
Woodstock, GA 30188-3744

Mailing address

3595 Canton Rd Ste# 312 Pmb217
Marietta, GA 30066
Phone (470) 546-8346

Other practice location 1

412 Creekstone Rdg
Woodstock, GA 30188-3740
Phone (470) 546-8346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240206000063 GA Part B Supplier - Clinic/Group Practice 2567805732 Receives reassigned benefits from 1 practitioner
Practice locations: Woodstock, GA

National Provider Directory

National Provider Directory

Locations

3595 Canton Rd
Ste 312
Marietta, GA 30066

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": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1831883040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 CANTON RD STE# 312 PMB217",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30066",
            "telephone_number": "470-546-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CREEKSTONE RDG STE 2",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883744",
            "telephone_number": "470-546-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Creekstone Rdg",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301883740",
            "country_code": "US",
            "telephone_number": "470-546-8346",
            "fax_number": "770-995-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRE FOR TRANSITIONAL CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-546-8346",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.