Organization Active NPI

Creative Therapy and Education

  • Mental Health Counselor
  • West Hartford, CT
National Provider Identifier
1114469657
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3048 Issued in CT
Legal business name
CREATIVE THERAPY AND EDUCATION
Practice address
298 Park Rd Ste 5
West Hartford, CT 06119-2018
Phone
(860) 888-7040
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Ms. Hannah D Jackson, LPC
Title
Professional Counselor
Phone
(860) 888-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 3048 CT Primary

Addresses

Primary practice location

298 Park Rd Ste 5
West Hartford, CT 06119-2018

Mailing address

298 Park Rd Ste 5
West Hartford, CT 06119-2018
Phone (860) 888-7040

National Provider Directory

National Provider Directory

Locations

298 Park Rd
Ste 5
West Hartford, CT 06119
Phone (860) 888-7040

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1114469657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 PARK RD STE 5",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192018",
            "telephone_number": "860-888-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 PARK RD STE 5",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192018",
            "telephone_number": "860-888-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-888-7040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.