Co-Creative Coaching, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

SW13546 Issued in FL

Legal business name

CO-CREATIVE COACHING, LLC

Doing business as

Co-Creative Coaching and Counseling

Practice address

660 Linton Blvd
203-A
Delray Beach, FL 33444-8167

Phone

(561) 285-2052

NPI assigned

Jun 11, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Janus Moncur, LCSWNPI 1962956953

Title

MMGR/Owner

Phone

(561) 285-2052

Specialties & licenses 5

Addresses

Other names 1

• Co-Creative Coaching and Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janus Moncur, LCSW

  • Clinical Social Worker
  • Delray Beach, FL
  • NPI 1962956953
  NPD (past) Authorized official

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465603200000",
    "number": "1124477963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 JOG RD STE 262",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334465905",
            "telephone_number": "561-285-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LINTON BLVD",
            "address_2": "203-A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448167",
            "telephone_number": "561-285-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-CREATIVE COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A",
        "authorized_official_last_name": "MONCUR",
        "authorized_official_first_name": "JANUS",
        "authorized_official_title_or_position": "MMGR/OWNER",
        "authorized_official_telephone_number": "561-285-2052",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW13546",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SW13546",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW13546",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW13546",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "FL",
            "license": "SW13546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Co-Creative Coaching and Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.