Organization Active NPI

Creative Corporate Consulting Inc.

  • Preferred Provider Organization
  • Wesley Chapel, FL
National Provider Identifier
1316309115
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
10216 Issued in FL
Legal business name
CREATIVE CORPORATE CONSULTING INC.
Practice address
33905 State Road 54
Suite 101
Wesley Chapel, FL 33543-9100
Phone
(954) 649-6592
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Courtney Cavall, LMHC
Title
Owner
Phone
(954) 649-6592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 10216 FL Primary

Addresses

Primary practice location

33905 State Road 54
Suite 101
Wesley Chapel, FL 33543-9100

Mailing address

33905 State Road 54, Suite 101
Wesley Chapel, FL 33545-1900
Phone (954) 649-6592

National Provider Directory

National Provider Directory

Locations

33905 Wesley Chapel Blvd
Ste 101
Wesley Chapel, FL 33543
Phone (813) 715-2099

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1316309115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33905 STATE ROAD 54, SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335451900",
            "telephone_number": "954-649-6592",
            "fax_number": "727-666-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33905 STATE ROAD 54",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335439100",
            "telephone_number": "954-649-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CORPORATE CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "CAVALL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-649-6592",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "10216",
            "primary": true
        }
    ],
    "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 May 2, 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.