Louisa Creative Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LOUISA CREATIVE COUNSELING, LLC

Practice address

421 Mineral Ave # 192
Mineral, VA 23117-4049

Phone

(540) 259-3646

Fax

(540) 259-3647

NPI assigned

May 7, 2016

Organization subpart

No

Name

Kristy Bazzanella, LPC, RPT, CCTPNPI 1174979207

Title

Owner

Phone

(540) 604-3267

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristy Bazzanella, LPC

  • Mental Health Counselor
  • Mineral, VA
  • NPI 1174979207

  Mental Health, VA

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Louisa Creative Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Louisa Creative Counseling, LLC

  • Mental Health Counselor
  • Mineral, VA
  • NPI 1700337078
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2022.

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1225484348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "231170192",
            "telephone_number": "540-604-3267",
            "fax_number": "844-480-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MINERAL AVE # 192",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "231174049",
            "telephone_number": "540-259-3646",
            "fax_number": "540-259-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA CREATIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "BAZZANELLA",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-604-3267",
        "authorized_official_credential": "LPC, RPT, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701006594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601101224",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Hunt, MSW, LCSW
• Stacy Hunterbanks
• Lake Anna Spa LLC
• Lakeview Primary Care LLC
• Louisa County Public Schools
• Louisa Creative Counseling, LLC
• Alan Marshall, RPH
• Renee McAdams, ED.S.
• William J. McAveney, M.D.
• Katelyn McDonald

• All providers in Mineral, VA
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.