Organization Active NPI

Eastern Artists Expressive Therapies

  • Mental Health Counselor
  • Alachua, FL
National Provider Identifier
1548159395
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EASTERN ARTISTS EXPRESSIVE THERAPIES
Practice address
10416 NW 148TH PL
Alachua, FL 32615-5725
Phone
(561) 617-0600
NPI assigned
Jun 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Authorized official

Name
Tim Cohen
Title
Therapist
Phone
(914) 552-0018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

10416 NW 148TH PL
Alachua, FL 32615-5725

Mailing address

10416 NW 148TH PL
Alachua, FL 32615-5725

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1548159395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 NW 148TH PL",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326155725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10416 NW 148TH PL",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326155725",
            "telephone_number": "561-617-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ARTISTS EXPRESSIVE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "914-552-0018"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alachua, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.