Expressionists Creative Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EXPRESSIONISTS CREATIVE COUNSELING, LLC

Practice address

122 N 4TH St Ste 2022
Lake Mary, FL 32746-2944

Phone

(407) 502-0189

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Brandy King Schafer, LMHC, REAT, NCCNPI 1033610522

Title

Owner

Phone

(407) 502-0189

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandy King Schafer, MS, LMHC, REAT, NCC

  • Mental Health Counselor
  • Lake Mary, FL
  • NPI 1033610522
  NPD Authorized official

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1598398174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 AUTUMN OAKS PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464848",
            "telephone_number": "407-620-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N 4TH ST STE 2022",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462944",
            "telephone_number": "407-502-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIONISTS CREATIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-502-0189",
        "authorized_official_credential": "LMHC, REAT, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandyschafer@expressionistscounseling.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Company email",
            "address_1": "122 N 4th St Ste 2022",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327462944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Lellanny Fajardo

• Mental Health Counselor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.