Washington International Center for Creativity, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC14033 Issued in DC

Legal business name

WASHINGTON INTERNATIONAL CENTER FOR CREATIVITY, PLLC

Practice address

5335 Wisconsin Ave NW Ste 440
Washington, DC 20015-2054

Phone

(202) 243-0595

Fax

(202) 243-0596

NPI assigned

Sep 29, 2009

Last updated

Sep 29, 2009By 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

Dr. Rosa Aurora Chavez-Eakle, PH.D., LPC, NCC

Title

Director

Phone

(202) 243-0595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1366776981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 WISCONSIN AVE NW STE 440",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152054",
            "telephone_number": "202-243-0595",
            "fax_number": "202-243-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 WISCONSIN AVE NW STE 440",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152054",
            "telephone_number": "202-243-0595",
            "fax_number": "202-243-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON INTERNATIONAL CENTER FOR CREATIVITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ-EAKLE",
        "authorized_official_first_name": "ROSA AURORA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-243-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Professional Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.