Organization Active NPI

Creative Spark Art Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indialantic, FL
National Provider Identifier
1184515306
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CREATIVE SPARK ART THERAPY LLC
Practice address
122 4TH Ave Ste 200
Indialantic, FL 32903-3112
Phone
(321) 327-3793
NPI assigned
Jul 14, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Jessica Termini, LMHC, ATRNPI 1225473085
Title
Owner/Clinical Therapist
Phone
(321) 327-3793

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

122 4TH Ave Ste 200
Indialantic, FL 32903-3112

Mailing address

344 Meadowwood LN
West Melbourne, FL 32904-3824
Phone (321) 536-3195

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, 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": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1184515306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 MEADOWWOOD LN",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043824",
            "telephone_number": "321-536-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 4TH AVE STE 200",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033112",
            "telephone_number": "321-327-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SPARK ART THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "TERMINI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "321-327-3793",
        "authorized_official_credential": "LMHC, ATR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.