Organization Active NPI

Cypress Creek Therapy & Relationship Center, Inc

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1194102533
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4329 Issued in FL
Legal business name
CYPRESS CREEK THERAPY & RELATIONSHIP CENTER, INC
Practice address
703 60TH Street CT E
Suite C
Bradenton, FL 34208-6278
Phone
(941) 920-0189
Fax
(941) 747-8714
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Karen Berner Arcuri, LMHCNPI 1033192000
Title
Owner
Phone
(941) 920-0189

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH4329 FL Primary

Addresses

Primary practice location

703 60TH Street CT E
Suite C
Bradenton, FL 34208-6278

Mailing address

11755 Shirburn Cir
Parrish, FL 34219-7508
Phone (941) 920-0189

National Provider Directory

National Provider Directory

Locations

703 60th Street Ct E
Ste C
Bradenton, FL 34208
Phone (941) 725-3977

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": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1194102533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 SHIRBURN CIR",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342197508",
            "telephone_number": "941-920-0189",
            "fax_number": "941-747-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 60TH STREET CT E",
            "address_2": "SUITE C",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086278",
            "telephone_number": "941-920-0189",
            "fax_number": "941-747-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK THERAPY & RELATIONSHIP CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "ARCURI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "BERNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-920-0189",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.