Organization Active NPI

Create Art & Wellness, LLC

  • Mental Health Counselor
  • Pawtucket, RI
National Provider Identifier
1609575968
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATE ART & WELLNESS, LLC
Practice address
881 Main St
Pawtucket, RI 02860-4991
Phone
(401) 240-4540
Fax
(401) 340-1691
NPI assigned
Feb 27, 2023
Organization subpart
Yes
Parent organization
CREATE ART & WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Emily NataleNPI 1699063230
Title
Owner, Clinician
Phone
(491) 249-4549

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Drama TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 101200000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X

Addresses

Primary practice location

881 Main St
Pawtucket, RI 02860-4991

Mailing address

881 Main St
Pawtucket, RI 02860-4991

National Provider Directory

National Provider Directory
Part of
Create Art Wellness LLC

Locations

881 Main St
Pawtucket, RI 02860
Phone (401) 240-4540

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": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609575968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604991",
            "telephone_number": "401-240-4540",
            "fax_number": "401-340-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE ART & WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATE ART & WELLNESS, LLC",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NATALE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "491-249-4549"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.