Organization Active NPI

Creating Boundaries, LLC

  • Mental Health Counselor
  • Richmond, KY
National Provider Identifier
1598370819
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATING BOUNDARIES, LLC
Doing business as
Living Well Counseling Services
Practice address
200 E Main St Ste 208
Richmond, KY 40475-1628
Phone
(488) 488-1096
NPI assigned
Sep 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Mr. Daniel Sulfridge, LPCC-SNPI 1871762369
Title
Owner/Therapist
Phone
(859) 488-1096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

200 E Main St Ste 208
Richmond, KY 40475-1628

Mailing address

PO Box 523
Richmond, KY 40476-0523
Phone (859) 488-1096

Other names 1

  • Living Well Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

200 E Main St
Ste 208
Richmond, KY 40475
Phone (488) 488-1096

Practitioners & affiliated clinicians

Practitioners 1

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": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1598370819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404760523",
            "telephone_number": "859-488-1096",
            "fax_number": "859-986-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST STE 208",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751628",
            "telephone_number": "488-488-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING BOUNDARIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "SULFRIDGE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "859-488-1096",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.