NPIMap

Organization Active NPI

Creative Creative Center, Inc.

  • Professional Counselor
  • Shippensburg, PA
National Provider Identifier
1124615315
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CREATIVE CREATIVE CENTER, INC.
Practice address
130 S Penn St Ste 201
Shippensburg, PA 17257-1916
Phone
(717) 477-2556
Fax
(717) 496-0346
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Mrs. Amanda Mary Aliff, LPCNPI 1447649652
Title
President
Phone
(301) 706-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

130 S Penn St Ste 201
Shippensburg, PA 17257-1916

Mailing address

105 Milky Way
Shippensburg, PA 17257-8241
Phone (717) 477-2556

National Provider Directory

National Provider Directory

Locations

130 S Penn St
Ste 201
Shippensburg, PA 17257
Phone (717) 477-2556

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1124615315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MILKY WAY",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578241",
            "telephone_number": "717-477-2556",
            "fax_number": "717-496-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S PENN ST STE 201",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172571916",
            "telephone_number": "717-477-2556",
            "fax_number": "717-496-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CREATIVE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "ALIFF",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-706-6889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.