NPIMap

Organization Active NPI

Creative Counseling Services

  • Marriage & Family Therapist
  • Rocky Hill, CT
National Provider Identifier
1164575288
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000921 Issued in CT
Legal business name
CREATIVE COUNSELING SERVICES
Practice address
21 Rhodes Rd
Rocky Hill, CT 06067-1856
Phone
(860) 257-1865
Fax
(860) 257-1865
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Ms. Asha Patlikh, MS, MFTNPI 1811969777
Title
Owner
Phone
(860) 529-8977

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
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 000921 CT Primary

Addresses

Primary practice location

21 Rhodes Rd
Rocky Hill, CT 06067-1856

Mailing address

21 Rhodes Rd
Rocky Hill, CT 06067-1856
Phone (860) 257-1865

Other identifiers 3

IdentifierTypeStateIssuer
410000921CT03OtherCTANTHEM
351220OtherCTMHN
7760595OtherCTAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1164575288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RHODES RD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671856",
            "telephone_number": "860-257-1865",
            "fax_number": "860-257-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RHODES RD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671856",
            "telephone_number": "860-257-1865",
            "fax_number": "860-257-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "PATLIKH",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-529-8977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "410000921CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "351220",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7760595",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.