Creative Healing Counseling & Wellness Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05595300 Issued in NJ

Legal business name

CREATIVE HEALING COUNSELING & WELLNESS CENTER

Practice address

2810 Morris Ave
Suite 102B
Union, NJ 07083-4850

Phone

(908) 219-9060

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyssa L Simmonds, LCSWNPI 1275931503

Title

Licensed Clinical Therapist

Phone

(908) 219-9060

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Alyssa Simmonds, LCSW

  • Clinical Social Worker
  • Union, NJ
  • NPI 1275931503
  NPD (past) Authorized official
• Nefertitti Towns-Scott, LCSW

  • Clinical Social Worker
  • Union, NJ
  • NPI 1184022410
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1245699305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 MORRIS AVE",
            "address_2": "SUITE 102B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834850",
            "telephone_number": "908-219-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MORRIS AVE",
            "address_2": "SUITE 102B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834850",
            "telephone_number": "908-219-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALING COUNSELING & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL THERAPIST",
        "authorized_official_telephone_number": "908-219-9060",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05595300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Costa, DPT
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• Costco Wholesale Corporation (Costco Pharmacy # 320)
• Costco Wholesale Corporation (Costco Hearing Aid #320)
• County of Union
• Hannah Criollo
• Kathleen Cruise Murphy, LPC
• Patricia Cucci, M.D.
• Pawel Sebastian Cudnoch, DPT
• Asima Cuevas, O.D.

• Clinical Social Worker in Union, NJ
• Providers in Union, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.