Transformative Vision PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TRANSFORMATIVE VISION PLLC

Practice address

227 W 4TH St Ste 321
Charlotte, NC 28202-1545

Phone

(704) 879-1179

Fax

(704) 490-4274

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Jacqueline Bush, LMFT, BC-TMHNPI 1073012647

Title

Clinicial Director

Phone

(704) 879-1179

Specialties & licenses 3

Addresses

Other names 3

• TRANSFORMATIVE VISION Doing business as
• TRANSFORMATIVE VISION THERAPY COLLECTIVE Doing business as
• TRANSFORMATIVE VISION WELLNESS CENTER Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Transformative Vision

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1255808036
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Bush, LMFT, BC-TMH

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1073012647
  NPD Authorized official

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1952923039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82406",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708842406",
            "telephone_number": "704-879-1179",
            "fax_number": "704-490-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W 4TH ST STE 321",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021545",
            "telephone_number": "704-879-1179",
            "fax_number": "704-490-4274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10202 Perkins Rowe Ste E160",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708102067",
            "country_code": "US",
            "telephone_number": "704-879-1179",
            "fax_number": "704-490-4274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMATIVE VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CLINICIAL DIRECTOR",
        "authorized_official_telephone_number": "704-879-1179",
        "authorized_official_credential": "LMFT, BC-TMH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRANSFORMATIVE VISION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRANSFORMATIVE VISION THERAPY COLLECTIVE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRANSFORMATIVE VISION WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Transformative Care Homes, LLC
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• Transformative Counseling and Wellness Solutions, PLLC
• Transformative Life Center, LLC.
• Transformative Vision
• Transit Consortium of South Carolina, LLC
• Transitional Pathways, PLLC
• Transitional Seasons, LLC
• Transitions Service Center Inc.
• Transitions Services LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.