NPIMap

Organization Active NPI

Creative Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Camden, NC
National Provider Identifier
1265804744
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE COUNSELING SERVICES, LLC
Practice address
104 Investors Way
Camden, NC 27921-0000
Phone
(919) 802-3704
NPI assigned
Oct 23, 2015
Last updated
Oct 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Shamekia Alvin
Title
Owner
Phone
(919) 802-3704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

104 Investors Way
Camden, NC 27921-0000

Mailing address

104 Investors Way
Camden, NC 27921-0000

National Provider Directory

National Provider Directory
Tax ID family
Creative Counseling Service LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1265804744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 INVESTORS WAY",
            "city": "CAMDEN",
            "state": "NC",
            "postal_code": "279210000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INVESTORS WAY",
            "city": "CAMDEN",
            "state": "NC",
            "postal_code": "279210000",
            "telephone_number": "919-802-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "ALVIN",
        "authorized_official_first_name": "SHAMEKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-802-3704"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.