Organization Active NPI

Creative Art Therapies and Wellness

  • Mental Health Counselor
  • Longmeadow, MA
National Provider Identifier
1164231973
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATIVE ART THERAPIES AND WELLNESS
Practice address
167 Dwight Rd Ste 104
Longmeadow, MA 01106-1769
Phone
(413) 686-0031
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Sarah ShubeNPI 1467752576
Title
Sole Member
Phone
(413) 686-0031

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 1

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

Addresses

Primary practice location

167 Dwight Rd Ste 104
Longmeadow, MA 01106-1769

Mailing address

116 Normandy Rd
Longmeadow, MA 01106-1229
Phone (413) 686-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250212000413 MA Part B Supplier - Clinic/Group Practice 2961932538 Receives reassigned benefits from 3 practitioners
Practice locations: Easthampton, MA; Longmeadow, MA

National Provider Directory

National Provider Directory

Locations

122 Pleasant St
Ste 103
Easthampton, MA 01027
Phone (413) 686-0031

Practitioners & affiliated clinicians

Practitioners 3

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": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1164231973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 NORMANDY RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061229",
            "telephone_number": "413-686-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 DWIGHT RD STE 104",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061769",
            "telephone_number": "413-686-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE ART THERAPIES AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "SHUBE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "413-686-0031"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.