Organization Active NPI

Creative Counseling PLLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1508002346
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4130 Issued in NC
Legal business name
CREATIVE COUNSELING PLLC
Practice address
1208 The PLZ
Charlotte, NC 28205-5054
Phone
(704) 763-0193
Fax
(704) 333-3005
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Ms. Tara Lynn Meehan, LPC
Title
Owner
Phone
(704) 763-0193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 4130 NC Primary

Addresses

Primary practice location

1208 The PLZ
Charlotte, NC 28205-5054

Mailing address

1208 The PLZ
Charlotte, NC 28205-5054
Phone (704) 763-0193

National Provider Directory

National Provider Directory

Locations

1208 The Plaza
Charlotte, NC 28205
Phone (704) 564-2289

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1508002346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055054",
            "telephone_number": "704-763-0193",
            "fax_number": "704-333-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055054",
            "telephone_number": "704-763-0193",
            "fax_number": "704-333-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-763-0193",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.