NPIMap

Organization Active NPI

Transformations Counseling Group LCSW PLLC

Doing business as Transformation Counseling Group

  • Clinical Social Worker
  • Hauppauge, NY
National Provider Identifier
1902219512
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
027434 Issued in NY
Legal business name
TRANSFORMATIONS COUNSELING GROUP LCSW PLLC
Doing business as
Transformation Counseling Group
Practice address
1 Rabro Dr Ste 10
Hauppauge, NY 11788-4270
Phone
(631) 979-2775
NPI assigned
Jun 11, 2014
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Kenneth Burns, LCSWNPI 1508130089
Title
Owner
Phone
(631) 257-5900

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
Clinical Social Worker 1041C0700X 027434 NY Primary
Clinical Social Worker 1041C0700X 082535 NY

Addresses

Primary practice location

1 Rabro Dr Ste 10
Hauppauge, NY 11788-4270

Mailing address

269 E Main St # F
Smithtown, NY 11787-2832
Phone (631) 979-2775

Other names 1

  • Transformation Counseling Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200522000303 NY Part B Supplier - Clinic/Group Practice 2264853597 Receives reassigned benefits from 2 practitioners
Practice locations: Hauppauge, NY

National Provider Directory

National Provider Directory

Locations

1 Rabro Dr
Ste 10
Hauppauge, NY 11788
Phone (631) 257-5900

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1902219512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 E MAIN ST # F",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872832",
            "telephone_number": "631-979-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RABRO DR STE 10",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884270",
            "telephone_number": "631-979-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS COUNSELING GROUP LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-257-5900",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "027434",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformation Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Transformation Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.