Creative Change, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH2746 Issued in FL

Legal business name

CREATIVE CHANGE, INC.

Practice address

5331 Commercial Way Ste 212
Spring Hill, FL 34606-1426

Phone

(352) 597-0969

Fax

(352) 597-6853

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ted Robert Pearson, M.A., LMHCNPI 1033355003

Title

President

Phone

(352) 597-0969

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ted Robert Pearson, M.A. LMHC

  • Mental Health Counselor
  • Spring Hill, FL
  • NPI 1033355003
  NPD (past) Authorized official

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1346488491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 COMMERCIAL WAY STE 212",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061426",
            "telephone_number": "352-597-0969",
            "fax_number": "352-597-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 COMMERCIAL WAY STE 212",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061426",
            "telephone_number": "352-597-0969",
            "fax_number": "352-597-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-597-0969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11915921",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayralynne Coviello, MA, LMHC
• Daryl Lynn Cox, MSW
• Kelly Lynn Cramasta, PHARM.D.
• Virginia L. J. Crandall, RN
• Jennifer Rebecca Crawford, LMT
• Joshua Caleb Crews, APRN FNP-C
• Diana Jessica Crivelli, DC
• Roger Adam Crossman, PHARM.D
• Crowned Care Transport Inc
• Jami Crumley

• Mental Health Counselor in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.