Active NPI
Creative Insight Counseling & Consultation, LLC
- Professional Counselor
- Spartanburg, SC
National Provider Identifier
1386014165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5246
- Legal business name
- CREATIVE INSIGHT COUNSELING & CONSULTATION, LLC
- Practice address
- 324 E Saint John St
Spartanburg, SC 29302-1505 - Phone
- (864) 707-1956
- NPI assigned
- Oct 6, 2015
- Last updated
- Sep 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark R Anderson, LPC
- Title
- Owner
- Phone
- (864) 707-1956
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5246 | SC | Primary |
Addresses
Primary practice location
324 E Saint John St
Spartanburg, SC 29302-1505
Mailing address
324 E Saint John St
Spartanburg, SC 29302-1505
Phone (864) 707-1956
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Spartanburg, SC
- NPI 1013187632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473379200000",
"number": "1386014165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 E SAINT JOHN ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021505",
"telephone_number": "864-707-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 E SAINT JOHN ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021505",
"telephone_number": "864-707-1956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE INSIGHT COUNSELING & CONSULTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-06",
"last_updated": "2016-09-09",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-707-1956",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.