Organization Active NPI

Creating Space to Thrive PLLC

  • Mental Health Counselor
  • Meriden, CT
National Provider Identifier
1003633108
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATING SPACE TO THRIVE PLLC
Practice address
54-2 Meetinghouse VLG
Meriden, CT 06450-6717
Phone
(203) 982-9686
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Christina Thompson, LPCNPI 1558746834
Title
Clinician
Phone
(203) 982-9686

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

54-2 Meetinghouse VLG
Meriden, CT 06450-6717

Mailing address

54-2 Meetinghouse VLG
Meriden, CT 06450-6717
Phone (203) 982-9686

National Provider Directory

National Provider Directory

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": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1003633108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54-2 MEETINGHOUSE VLG",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506717",
            "telephone_number": "203-982-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54-2 MEETINGHOUSE VLG",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506717",
            "telephone_number": "203-982-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING SPACE TO THRIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "203-982-9686",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.