Organization Active NPI

Transforming Trauma Counseling

  • Community/Behavioral Health Agency
  • Riverside, CA
National Provider Identifier
1871192724
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRANSFORMING TRAUMA COUNSELING
Practice address
4624 Arlington Ave
Riverside, CA 92504-2702
Phone
(951) 394-0165
Fax
(951) 534-0642
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Alicia McCleod, LMFTNPI 1184929838
Title
Owner
Phone
(951) 394-0165

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4624 Arlington Ave
Riverside, CA 92504-2702

Mailing address

4624 Arlington Ave
Riverside, CA 92504-2702
Phone (951) 394-0165

Other practice location 1

7177 Brockton Ave Ste 226
Riverside, CA 92506-2633
Phone (951) 394-0165

Other identifiers 1

IdentifierTypeStateIssuer
5078742MedicaidCA

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.simplepractice.com/patient-portal/
Other URL www.simplepractice.com Direct

National Provider Directory

National Provider Directory

Locations

7177 Brockton Ave
Ste 226
Riverside, CA 92506
Phone (951) 394-0165

Practitioners & affiliated clinicians

Practitioners 3

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": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1871192724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042702",
            "telephone_number": "951-394-0165",
            "fax_number": "951-534-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042702",
            "telephone_number": "951-394-0165",
            "fax_number": "951-534-0642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7177 Brockton Ave Ste 226",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062633",
            "country_code": "US",
            "telephone_number": "951-394-0165",
            "fax_number": "951-788-7075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMING TRAUMA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "MCCLEOD",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-394-0165",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5078742",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.simplepractice.com/patient-portal/",
            "affiliation": "N",
            "address_1": "7177 Brockton Ave Ste 226",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925062633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR System",
            "address_1": "4624 Arlington Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925042702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.