Active NPI
Creative Counseling for Elders and Families
- Case Management Agency
- Healdsburg, CA
National Provider Identifier
1043602121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 42079
- Legal business name
- CREATIVE COUNSELING FOR ELDERS AND FAMILIES
- Practice address
- 141 North St Ste C
Healdsburg, CA 95448-3821 - Phone
- (707) 239-2310
- Fax
- (707) 737-5520
- NPI assigned
- Feb 26, 2015
- Last updated
- Feb 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Drew Ross, MFT
- Title
- President/Ceo
- Phone
- (707) 239-2310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 42079 | CA | Primary |
Addresses
Primary practice location
141 North St Ste C
Healdsburg, CA 95448-3821
Mailing address
141 North St Ste C
Healdsburg, CA 95448-3821
Phone (707) 239-2310
National Provider Directory
National Provider DirectoryLocations
141 North St
Ste C
Healdsburg, CA 95448
Phone (415) 944-9890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424908800000",
"number": "1043602121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 NORTH ST STE C",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483821",
"telephone_number": "707-239-2310",
"fax_number": "707-737-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 NORTH ST STE C",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483821",
"telephone_number": "707-239-2310",
"fax_number": "707-737-5520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE COUNSELING FOR ELDERS AND FAMILIES",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-26",
"last_updated": "2015-02-26",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "DREW",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "707-239-2310",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": "42079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Healdsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.