Organization Active NPI

Creative Counseling Inc

  • Public Health or Welfare Agency
  • Memphis, TN
National Provider Identifier
1568762334
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CREATIVE COUNSELING INC
Practice address
2809 Kirby Rd
116
Memphis, TN 38119-8246
Phone
(901) 759-4772
NPI assigned
Oct 27, 2010
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Michelle King
Title
Third Party
Phone
(504) 669-8451

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2809 Kirby Rd
116
Memphis, TN 38119-8246

Mailing address

2809 Kirby Rd
116
Memphis, TN 38119-8246
Phone (901) 759-4772

National Provider Directory

National Provider Directory

Locations

2809 Kirby Rd
Ste 116
Memphis, TN 38119
Phone (501) 471-7969

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1568762334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 KIRBY RD",
            "address_2": "116",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198246",
            "telephone_number": "901-759-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 KIRBY RD",
            "address_2": "116",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198246",
            "telephone_number": "901-759-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "THIRD PARTY",
        "authorized_official_telephone_number": "504-669-8451"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.