TRANSFORMATION MENTAL HEALTH THERAPY, PLLC
NPI 1033996236
Counselor - Mental Health in Coeur D Alene, ID
About Transformation Mental Health Therapy, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRANSFORMATION MENTAL HEALTH THERAPY, PLLC (NPI 1033996236) is a healthcare organization registered as a mental health in Coeur D Alene, Idaho and active in the NPI registry since September 2023. The organization lists Kimberly Lynn Shelden, Owner/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Transformation Mental Health Therapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Transformation Mental Health Therapy, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Transformation Mental Health Therapy, PLLC's NPI number?
The NPI number for Transformation Mental Health Therapy, PLLC is 1033996236. It was assigned to this organization in the NPPES registry on September 11, 2023.
Where is Transformation Mental Health Therapy, PLLC located?
Transformation Mental Health Therapy, PLLC is located at 2005 N Ironwood Pkwy Ste 120, Coeur D Alene, ID 83814. The listed phone number is (208) 704-0342.
What is Transformation Mental Health Therapy, PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Transformation Mental Health Therapy, PLLC enrolled in Medicare?
Yes. Transformation Mental Health Therapy, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Transformation Mental Health Therapy, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Transformation Mental Health Therapy, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Transformation Mental Health Therapy, PLLC was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Transformation Mental Health Therapy, Pllc · NPI 1033996236
Mental Health organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since September 11, 2023.
## Identity
- **NPI:** 1033996236 (Entity type: Organization)
- **Enumerated:** September 11, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kimberly Shelden, OWNER/THERAPIST
## Practice location
- **Address:** 2005 N IRONWOOD PKWY STE 120, Coeur D Alene, ID 83814-2647
- **Phone:** (208) 704-0342
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1033996236) · Data from the CMS NPPES public registry.