Organization Active NPI

Creative Counseling for Elders and Families

  • Case Management Agency
  • Healdsburg, CA
National Provider Identifier
1043602121
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
42079 Issued in CA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.