NPIMap

Organization Active NPI

Life Transformation Counseling, LLC

  • Professional Counselor
  • Peoria, IL
National Provider Identifier
1972976652
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007518 Issued in IL
Legal business name
LIFE TRANSFORMATION COUNSELING, LLC
Practice address
2000 W Pioneer Pkwy
Suite 7B
Peoria, IL 61615-1835
Phone
(309) 363-1400
Fax
(309) 409-1662
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Ms. Queena Louise Howard, LCPCNPI 1275767717
Title
Clinician/Owner
Phone
(309) 363-1400

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180007518 IL Primary

Addresses

Primary practice location

2000 W Pioneer Pkwy
Suite 7B
Peoria, IL 61615-1835

Mailing address

2000 W Pioneer Pkwy
Suite 7B
Peoria, IL 61615-1835
Phone (309) 363-1400

National Provider Directory

National Provider Directory

Locations

2000 W Pioneer Pkwy
Ste 7B
Peoria, IL 61615
Phone (309) 363-1400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1972976652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY",
            "address_2": "SUITE 7B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151835",
            "telephone_number": "309-363-1400",
            "fax_number": "309-409-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY",
            "address_2": "SUITE 7B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151835",
            "telephone_number": "309-363-1400",
            "fax_number": "309-409-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRANSFORMATION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "QUEENA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "309-363-1400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.