Organization Active NPI

Transformative Counseling and Trauma Healing Services, LLC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1932728748
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRANSFORMATIVE COUNSELING AND TRAUMA HEALING SERVICES, LLC
Practice address
7155 W Campo Bello Dr Ste B110
Glendale, AZ 85308-8594
Phone
(623) 218-6030
Fax
(623) 218-6230
NPI assigned
Apr 11, 2020
Last updated
Feb 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Authorized official

Name
Barbara J Plourd, LPCNPI 1922590397
Title
Owner
Phone
(602) 473-8284

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

7155 W Campo Bello Dr Ste B110
Glendale, AZ 85308-8594

Mailing address

7155 W Campo Bello Dr Ste B110
Glendale, AZ 85308-8594
Phone (623) 218-6030

Other identifiers 2

IdentifierTypeStateIssuer
003811MedicaidAZ
004982MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250311003208 AZ Part B Supplier - Clinic/Group Practice 3779004312 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Locations

7155 W Campo Bello Dr
Ste 110
Glendale, AZ 85308

9401 W Thunderbird Rd
Ste 187
Peoria, AZ 85381
Phone (602) 473-8284

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707523200000",
    "number": "1932728748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 W CAMPO BELLO DR STE B110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088594",
            "telephone_number": "623-218-6030",
            "fax_number": "623-218-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 W CAMPO BELLO DR STE B110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088594",
            "telephone_number": "623-218-6030",
            "fax_number": "623-218-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE COUNSELING AND TRAUMA HEALING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-11",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "PLOURD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-473-8284",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003811",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004982",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; 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.