Creating Transformation, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002109 Issued in CT

Legal business name

CREATING TRANSFORMATION, LLC

Practice address

2096 B 2ND Floor
Silas Deane Highway
Rocky Hill, CT 06067

Phone

(860) 304-9633

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Karen Urbano, PCNPI 1497996714

Title

LPC

Phone

(860) 304-9633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Karen Urbano Former legal business name

Locations

Practitioners 1

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

• Karen Urbano, LPC

  • Professional Counselor
  • Rocky Hill, CT
  • NPI 1497996714
  NPD (past) Authorized official

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1407265101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 B 2ND FLOOR",
            "address_2": "SILAS DEANE HIGHWAY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-304-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 B 2ND FLOOR",
            "address_2": "SILAS DEANE HIGHWAY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-304-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING TRANSFORMATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "URBANO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "860-304-9633",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Urbano",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Alicia Marie Cruz, LMFT
• CT Resiliency Counseling Services LLC

• Professional Counselor in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.