Creative Self-Development, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701000871 Issued in VA

Legal business name

CREATIVE SELF-DEVELOPMENT, INC.

Practice address

1909 N Ohio St
Arlington, VA 22205-2136

Phone

(703) 532-2731

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lilli Marie Vincenz, PHD, LPC

Title

Licensed Professional Counselor

Phone

(703) 532-2731

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1497941355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N OHIO ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222052136",
            "telephone_number": "703-532-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N OHIO ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222052136",
            "telephone_number": "703-532-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SELF-DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "VINCENZ",
        "authorized_official_first_name": "LILLI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "703-532-2731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701000871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Coyle, LCSW
• Ellinor Quay Coyne, M.D.
• Jennifer Ann Coyne, MS, OTR/L
• CP McManus and RP McManus MD LTD
• Wendy Crawford, M.A., N.C.S.P.
• Courtney Crews, DPT
• Kimberly Crilly, RN, CDCES
• Cameron Crispens, LCSW
• Kayla Criswell
• Jamaal Crone, MAR, M.ED.

• Community/Behavioral Health Agency in Arlington, VA
• Providers in Arlington, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.