Active NPI
Life Transformations, LLC
- Psychologist
- Newburyport, MA
National Provider Identifier
1932386596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5320
- Legal business name
- LIFE TRANSFORMATIONS, LLC
- Practice address
- 21 Pleasant St Ste 235
Newburyport, MA 01950-2623 - Phone
- (802) 359-9139
- Fax
- (802) 359-3468
- NPI assigned
- Jan 25, 2008
- Last updated
- Jan 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Holly R. Counts, PSY.D.
- Title
- Owner
- Phone
- (802) 359-9139
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E7971 | OH | |
| Psychologist | 103T00000X | 5320 | OH | Primary |
Addresses
Primary practice location
21 Pleasant St Ste 235
Newburyport, MA 01950-2623
Mailing address
PO Box 15
Newburyport, MA 01950-0015
Phone (802) 359-9139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2217863 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21 Pleasant St
Ste 235
Newburyport, MA 01950
Phone (802) 359-9139
85 N Main St
Ste 230
White River Junction, VT 05001
Phone (802) 280-1900
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Clinical Psychologist
- Newburyport, MA
- NPI 1659322949
-
- Marriage & Family Therapist
- Kettering, OH
- NPI 1710285093
-
- Clinical Psychologist
- Yellow Springs, OH
- NPI 1043423718
-
- Clinical Social Worker
- Moraine, OH
- NPI 1861655219
-
- Counselor
- Kettering, OH
- NPI 1457348880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547856000000",
"number": "1932386596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019500015",
"telephone_number": "802-359-9139",
"fax_number": "802-359-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PLEASANT ST STE 235",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019502623",
"telephone_number": "802-359-9139",
"fax_number": "802-359-3468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE TRANSFORMATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-25",
"last_updated": "2019-01-19",
"status": "A",
"authorized_official_last_name": "COUNTS",
"authorized_official_first_name": "HOLLY",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-359-9139",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E7971",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2217863",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.