Organization Active NPI

Creative Healing Counseling Services, LLC

  • Mental Health Counselor
  • Aberdeen, MS
National Provider Identifier
1487394763
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATIVE HEALING COUNSELING SERVICES, LLC
Practice address
530 Highway 145 N Ste a
Aberdeen, MS 39730-2156
Phone
(662) 319-1876
Fax
(662) 369-1739
NPI assigned
Apr 1, 2022
Last updated
Apr 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Sherita Dobbins, LCSWNPI 1053663542
Title
Owner
Phone
(662) 319-1876

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

530 Highway 145 N Ste a
Aberdeen, MS 39730-2156

Mailing address

530 Highway 145 N Ste a
Aberdeen, MS 39730-2156
Phone (662) 319-1876

National Provider Directory

National Provider Directory

Locations

530 Highway 145 N
Ste A
Aberdeen, MS 39730
Phone (662) 319-1876

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1487394763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HIGHWAY 145 N STE A",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397302156",
            "telephone_number": "662-319-1876",
            "fax_number": "662-369-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HIGHWAY 145 N STE A",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397302156",
            "telephone_number": "662-319-1876",
            "fax_number": "662-369-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALING COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-319-1876",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.