NPIMap

Organization Active NPI

Simply Amazing Family Environment

  • Addiction (Substance Use Disorder) Counselor
  • Streetsboro, OH
National Provider Identifier
1336976521
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SIMPLY AMAZING FAMILY ENVIRONMENT
Practice address
9217 State Route 43 Ste 220
Streetsboro, OH 44241-5371
Phone
(330) 422-9005
NPI assigned
Sep 19, 2024
Organization subpart
Yes
Parent organization
SIMPLY AMAZING FAMILY ENVIRONMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Sereena Creamer, LPCC-SNPI 1457859316
Title
Clinical Director
Phone
(330) 422-9005

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X

Addresses

Primary practice location

9217 State Route 43 Ste 220
Streetsboro, OH 44241-5371

Mailing address

9150 Market Square Dr Ste 201
Streetsboro, OH 44241-4573
Phone (330) 422-9005

Other practice location 1

3480 W Market St Ste 202
Fairlawn, OH 44333-3369
Phone (330) 548-1224

Other practice location 2

9150 Market Square Dr Ste 201
Streetsboro, OH 44241-4573
Phone (330) 422-9005

Other identifiers 1

IdentifierTypeStateIssuer
0342515MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Simply Amazing Family Environment2 organizations share this tax ID, including this one
Part of
Simply Amazing Family Environment

Other organizations with this tax ID 1

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

Locations

9217 State Route 43
Ste 220
Streetsboro, OH 44241
Phone (330) 422-9005

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

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": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1336976521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MARKET SQUARE DR STE 201",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414573",
            "telephone_number": "330-422-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 STATE ROUTE 43 STE 220",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415371",
            "telephone_number": "330-422-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3480 W Market St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443333369",
            "country_code": "US",
            "telephone_number": "330-548-1224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9150 Market Square Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Streetsboro",
            "state": "OH",
            "postal_code": "442414573",
            "country_code": "US",
            "telephone_number": "330-422-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLY AMAZING FAMILY ENVIRONMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMPLY AMAZING FAMILY ENVIRONMENT",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "CREAMER",
        "authorized_official_first_name": "SEREENA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "330-422-9005",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0342515",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.