NPIMap

Organization Active NPI

Creative Counseling PA

  • Case Management Agency
  • Lake Mary, FL
National Provider Identifier
1154382265
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MH7317 Issued in FL
Legal business name
CREATIVE COUNSELING PA
Practice address
205 Waymont CT
Suite 111
Lake Mary, FL 32746-3593
Phone
(407) 688-1770
Fax
(407) 688-7205
NPI assigned
Mar 29, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Michelle Ann Salomon, LMHCNPI 1467458406
Title
Pres
Phone
(407) 688-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MH7317 FL Primary

Addresses

Primary practice location

205 Waymont CT
Suite 111
Lake Mary, FL 32746-3593

Mailing address

205 Waymont Court
Suite 111
Lake Mary, FL 32746-3549
Phone (407) 688-1770

Other identifiers 1

IdentifierTypeStateIssuer
Z034UOtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1154382265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WAYMONT COURT",
            "address_2": "SUITE 111",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463549",
            "telephone_number": "407-688-1770",
            "fax_number": "407-688-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WAYMONT CT",
            "address_2": "SUITE 111",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463593",
            "telephone_number": "407-688-1770",
            "fax_number": "407-688-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "SALOMON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "407-688-1770",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "MH7317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z034U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.