NPIMap

Organization Active NPI

Becoming Transformed LLC

  • Counselor
  • Peoria, AZ
National Provider Identifier
1952819401
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12788 Issued in AZ
Legal business name
BECOMING TRANSFORMED LLC
Practice address
20470 N Lake Pleasant Rd
Suite 106
Peoria, AZ 85382-9705
Phone
(602) 618-8024
Fax
(623) 933-8625
NPI assigned
Jan 18, 2018
Last updated
Jan 18, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
BECOMING TRANSFORMED LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Mrs. Lisa Lynn Gomez, MANPI 1396998639
Title
Ceo
Phone
(602) 618-8024

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
Counselor 101Y00000X 12788 AZ Primary

Addresses

Primary practice location

20470 N Lake Pleasant Rd
Suite 106
Peoria, AZ 85382-9705

Mailing address

PO Box 7641
Surprise, AZ 85374-0110
Phone (602) 618-8024

National Provider Directory

National Provider Directory
Tax ID family
Becoming Transformed LLC2 organizations share this tax ID, including this one
Part of
Becoming Transformed LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10210 W Happy Valley Pkwy
Ste 140
Peoria, AZ 85383
Phone (623) 202-2521

14800 W Mountain View Blvd
Ste 210
Surprise, AZ 85374
Phone (480) 584-3734

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1952819401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7641",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740110",
            "telephone_number": "602-618-8024",
            "fax_number": "623-933-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20470 N LAKE PLEASANT RD",
            "address_2": "SUITE 106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829705",
            "telephone_number": "602-618-8024",
            "fax_number": "623-933-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECOMING TRANSFORMED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BECOMING TRANSFORMED LLC",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-618-8024",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "12788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.