1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Counselor
  6. NPI Profile

TRANSFORMATION COUNSELING SERVICES, LLC
NPI 1679451454
Counselor - Mental Health in Jacksonville, FL

Active since August 21, 2025
10752 DEERWOOD PARK BLVD STE 100, JACKSONVILLE, FL 32256(904) 503-5262(904) 895-5748 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2025, Sep 11, 2025 (2 updates tracked since 2025).

About Transformation Counseling Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSFORMATION COUNSELING SERVICES, LLC (NPI 1679451454) is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since August 2025. The organization lists Derda Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679451454
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTRANSFORMATION COUNSELING SERVICES, LLC
Location Address10752 DEERWOOD PARK BLVD STE 100Jacksonville, FL 32256-4846
Mailing Address10752 Deerwood Park Blvd Ste 100Jacksonville, FL 32256-4846 · (904) 503-5264 · Fax (904) 895-5748
Phone(904) 503-5262
Fax(904) 895-5748
Organization SubpartNo
Authorized OfficialDerda JacksonCeo · (904) 503-5264
Enumeration DateAugust 21, 2025
Last NPPES UpdateOctober 12, 20252 updates tracked since enumeration
NPPES CertifiedOctober 12, 2025
✔ NPI 1679451454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10752 DEERWOOD PARK BLVD STE 100, Jacksonville, FL 32256
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOBBI'S TOTAL CARE SOLUTIONS LLC
Nurse Practitioner
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 800-4775
CRYSTAL A CISZEK FNP
Nurse Practitioner (Family)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (478) 290-0677
MS. DERDA JACKSON LMHC
Counselor (Mental Health)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 776-1061
INTEGRATIVE DIMENSIONAL HEALING, LLC
Community/Behavioral Health
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 806-4837
WININGS WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 800-4775
ERIN THERESA SMITH
Nurse Practitioner (Psychiatric/Mental Health)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 800-4775
DR. SAMANTHA MARIE REIMAN PH.D.
Psychologist (Clinical)
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 925-6562
PUREVITAL NUTRITION LLC
Dietitian, Registered
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 32256
Duval County (904) 763-9722

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 Counseling Services, LLC's NPI number?

The NPI number for Transformation Counseling Services, LLC is 1679451454. It was assigned to this organization in the NPPES registry on August 21, 2025.

Where is Transformation Counseling Services, LLC located?

Transformation Counseling Services, LLC is located at 10752 Deerwood Park Blvd Ste 100, Jacksonville, FL 32256. The listed phone number is (904) 503-5262.

What is Transformation Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Transformation Counseling Services, LLC was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.