Simply Amazing Family Environment

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SIMPLY AMAZING FAMILY ENVIRONMENT

Practice address

9150 Market Square Dr Ste 201
Streetsboro, OH 44241-4573

Phone

(330) 422-9005

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Sereena Creamer, LPCC-SNPI 1457859316

Title

Therapist/Owner

Phone

(330) 422-9005

Specialties & licenses 6

Addresses

Other identifiers 1

Tax ID family

Simply Amazing Family Environment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Simply Amazing Family Environment

  • Addiction (Substance Use Disorder) Counselor
  • Streetsboro, OH
  • NPI 1336976521
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Simply Amazing Family Environment

  • Addiction (Substance Use Disorder) Counselor
  • Streetsboro, OH
  • NPI 1336976521
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sereena Creamer, LPCC-S

  • Mental Health Counselor
  • Kent, OH
  • NPI 1457859316

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Kelly McBride

  • Mental Health Counselor
  • Fairlawn, OH
  • NPI 1144034943
  NPD (past)
• Olivia Trizzino

  • Professional Counselor
  • Cleveland, OH
  • NPI 1144033838

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1083172530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10154 RIDGEVIEW CT",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442416602",
            "telephone_number": "330-328-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MARKET SQUARE DR STE 201",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414573",
            "telephone_number": "330-422-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3480 W Market St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443333369",
            "country_code": "US",
            "telephone_number": "330-548-1224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLY AMAZING FAMILY ENVIRONMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "CREAMER",
        "authorized_official_first_name": "SEREENA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "330-422-9005",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0284690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Shaw, PHARMD, JD
• Sue Shellhaas
• Brittany Sherrill
• Tameeka Lavette Simington, RN
• Jamir Ashlee Simpkins, LPN
• Simply Amazing Family Environment
• Sarah E Slater Lang, M.D.
• Sleep Testing Services, LLC
• Demika S Smith
• Riley Smith

• Community/Behavioral Health Agency in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.