Organization Active NPI

Mary S Strong Creative Community Counseling

  • Mental Health Counselor
  • Amarillo, TX
National Provider Identifier
1043842750
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MARY S STRONG CREATIVE COMMUNITY COUNSELING
Practice address
719 S Austin St
Amarillo, TX 79106-6714
Phone
(318) 350-6767
Fax
(318) 350-6767
NPI assigned
Feb 11, 2020
Organization subpart
Yes
Parent organization
CREATIVE COMMUNITY COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Mary Sosonya Strong, RSW, LPC, RPT, CAS
Title
Ceo
Phone
(318) 288-2686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

719 S Austin St
Amarillo, TX 79106-6714

Mailing address

731 Acklen St
Shreveport, LA 71104-3901
Phone (318) 288-2686

Other practice location 1

731 Acklen St
Shreveport, LA 71104-3901
Phone (318) 288-2686

Other practice location 2

1905 NW 19th Ave
Amarillo, TX 79107-1522
Phone (318) 350-6767

Other identifiers 3

IdentifierTypeStateIssuer
1043842750MedicaidLA
2832407MedicaidTX
28327407MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL email Direct
CONNECT URL email Direct Mary S Strong Creative Community Counseling

National Provider Directory

National Provider Directory

Locations

2920 Knight St
Ste 131
Shreveport, LA 71105
Phone (877) 868-9675

719 S Austin St
Amarillo, TX 79106
Phone (806) 437-2360

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1043842750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 ACKLEN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043901",
            "telephone_number": "318-288-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S AUSTIN ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066714",
            "telephone_number": "318-350-6767",
            "fax_number": "318-350-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Acklen St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711043901",
            "country_code": "US",
            "telephone_number": "318-288-2686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 NW 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791071522",
            "country_code": "US",
            "telephone_number": "318-350-6767",
            "fax_number": "318-350-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY S STRONG CREATIVE COMMUNITY COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATIVE COMMUNITY COUNSELING LLC",
        "enumeration_date": "2020-02-11",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SOSONYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-288-2686",
        "authorized_official_credential": "RSW, LPC, RPT, CAS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043842750",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2832407",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28327407",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "719 S Austin St",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791066714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "Y",
            "affiliationName": "Mary S Strong Creative Community Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "731 Acklen St",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711043901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.