Transform Your Birth, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRANSFORM YOUR BIRTH, LLC

Practice address

677 Craig Rd Ste 208
Creve Coeur, MO 63141-7125

Phone

(636) 699-2839

Fax

(844) 641-1015

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Jamie Bodily, MS, LPCNPI 1720313596

Title

Therapist

Phone

(636) 699-2839

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jamie Kay Bodily, MS, LPC

  • Professional Counselor
  • Saint Charles, MO
  • NPI 1720313596
  NPD Authorized official

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1992337778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 CRAIG RD STE 208",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417125",
            "telephone_number": "636-699-2839",
            "fax_number": "844-641-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CRAIG RD STE 208",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417125",
            "telephone_number": "636-699-2839",
            "fax_number": "844-641-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORM YOUR BIRTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "BODILY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "636-699-2839",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.