Organization Active NPI

Arbor Creek Counseling, LLC

  • Clinical Social Worker
  • Wesley Chapel, FL
National Provider Identifier
1235519422
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ARBOR CREEK COUNSELING, LLC
Practice address
2653 Bruce B Downs Blvd Ste 108a
Wesley Chapel, FL 33544-9211
Phone
(717) 461-5705
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Susan BartakNPI 1821317447
Title
LCSW
Phone
(407) 625-1014

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X CW017608 PA

Addresses

Primary practice location

2653 Bruce B Downs Blvd Ste 108a
Wesley Chapel, FL 33544-9211

Mailing address

2653 Bruce B Downs Blvd Ste 108a
Wesley Chapel, FL 33544-9211
Phone (717) 461-5705

Other practice location 1

313 W Liberty St
Lancaster, PA 17603-2798
Phone (717) 461-5705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227002522 FL Part B Supplier - Clinic/Group Practice 1456871953 Receives reassigned benefits from 1 practitioner
Practice locations: Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

4076 Market St
Ste 101
Camp Hill, PA 17011

313 W Liberty St
Lancaster, PA 17603
Phone (717) 394-3994

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": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1235519422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 BRUCE B DOWNS BLVD STE 108A",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449211",
            "telephone_number": "717-461-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 BRUCE B DOWNS BLVD STE 108A",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449211",
            "telephone_number": "717-461-5705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032798",
            "country_code": "US",
            "telephone_number": "717-461-5705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARBOR CREEK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "BARTAK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "407-625-1014"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW017608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.